Marsala v. Yale New Haven Hospital (Conn App Dec 2015)
Transcription
Marsala v. Yale New Haven Hospital (Conn App Dec 2015)
APPELLATE COURT OF THE STATE OF CONNECTICUT AC 37821, 37822 CLARENCE MARSALA, ADMINISTRATOR OF THE ESTATE OF HELEN MARSALA, ET AL. V. YALE-NEW HAVEN HOSPITAL APPENDIX OF DEFENDANT-APPELLEE YALE-NEW HAVEN HOSPITAL PARTS 1 AND 2 ATTORNEYS FOR DEFENDANT- APPELLEE: Jeffrey R. Babbin Tadhg A.J. Dooley WIGGIN AND DANA LLP One Century Tower P.O. Box 1832 New Haven, CT 06508-1832 (203) 498-4400 (tel.) (203) 782-2889 (fax) [email protected] [email protected] Juris No. 67700 TABLE OF CONTENTS Part 1 PLEADINGS AND COURT ORDERS 1. Additional relevant pleadings, motions and opinions a. Amended Affidavit of Margaret Pisani, M.D (dated September 11, 2014) [#130.00] ...................................................... AA1 b. Motion to Stay Action (dated April 29, 2015) [#175.00] .............................. AA5 c. Decision Granting Motion to Stay trial pending appeal (dated April 29, 2015) [#175.10]................................................................. AA8 2. Appellate Motions and Orders a. Motion to Consolidate Appeals (filed May 14, 2015) .................................. AA9 b. Order (dated June 11, 2015) .................................................................... AA14 Part 2 1. DEPOSITION TRANSCRIPT (EXCERPTS) Deposition Testimony of Andrew Boyd, M.D. 8/20/14, pp. 70-78 (filed in trial court as part of summary judgment record).. AA15 2. UNPUBLISHED CASES NOT IN APPELLANTS’ APPENDIX Hernandez v. Yale-New Haven Hosp., No. CV-095028884S, 2010 WL 3786861 (Conn. Super. Ct. Aug. 31, 2010) .................................................................. AA25 Huber v. Bakewell, No. DBD-CV-146015023S, 2015 WL 3973881 (Conn. Super. Ct. June 3, 2015).................................................................... AA33 3. STATUTES AND LEGISLATIVE MATERIALS Conn. Gen. Stat. § 19a-570........................................................................... AA37 Conn. Gen. Stat. § 19a-571........................................................................... AA39 Conn. Gen. Stat. § 19a-580........................................................................... AA41 Conn. Public Act 85-606................................................................................ AA42 Conn. Public Act 91-283................................................................................ AA45 i . SUPERIOR COURT. DOCKET NO.: AAN-CV-12 6010'861-S r J.D. OF MILFORD/ANSONIA. CLARENCE MARSALA, ET AL. AT MILFORD VS. YALE-NEW HAVEN HOSPITAL • SEPTEMBER 11,2014 . DOCKETNO. AAN-CV-12-6011711-S SUPERIOR COURT CLARENCE MARSALA, ADMMSTRATOR ' OF THE ESTATE OF HELEN MARSALA. J.D. OF MILFORD/ANSONIA • \ AT.MILFORD • VS. SEPTEMBER 11,2014 YALE-NEW HAVEN HOSPITAL . . . A M E N D E D A F F I D A V t T O F M A R G A R E T P I S A N L M.D. x 1-. I am oyer-the age of 18 andmderstandtieoMgationof anoath. • 2. I make this affidavit 'based on personal knowledge and on information- contained witbin.the medical records of Yale New Haven Hospital pertaining to Helen Marsala. 3. 1 am a physician licensed bythe state' of Connecticut. I am board certified in. Memal Medicine, Pulmonology and Critical. Care. ' • 4. - In 2010,1 was employed by the Yale Medical Group and was an attending, physician'at Yale..New Haven Hospital providing care to patients in the Medical Intensive Care Unit. •- ' .; . ' • 5. I was one of the attending physicians responsible for the care of Helen Marsala . during her admission to Yale New Haven Hospital from' June 18,2010 through M y 24, 2010. . ^^N • 6. I have reviewed the Yale New Haven Hospital records of Helen Marsala; Attached hereto as Exhibit 1 are true and accurate copies of excerpts from those records. 7.. Mrs. Marsala was admitted to the Medical Intensive Care Unit at Yale-rNew . • Haven Hospital on June 18,2010. According to the history provided at the time of her admission, she had been admitted to the intensive Care Unit at Griffin Hospital on May 24, 2010 with altered mental status and acute renal failure, and she was intubated, on May 26, , 2010. She was transferred to Yale-New Haven Hospital on a ventilator after physicians at Griffin Hospital were unsuccessful in their efforts to remedy her depressed neurological functioning, which made intubation necessary, The plan was to conduct furfher'workup with the hope that we. could identify the cause of, and reverse, her comatose state., 8. Mrs, Marsala had a dire prognosis upon her adnrissiori to Yale-New Haven Hospital, and despite conducting many tests and trying many treatments drjLring the course of her admission to the Hospital in an attempt to resolve her depressed neurological functioning, ' her condition worsened, • " • • 9. Throughout Mrs. Marsala's adnnssioh fo Yale-NewHavenHospital, members of • her medical team.had many conversations with her husband about her condition. In one of these conversations Mr, Marsala agreed that aggressive resuscitation, efforts should not be provided given-Mrs. Marsala's condition, and he consented to an entering of an order making her'Do Not Resuscitate." 10.. There are significant medical risks with patients who are intubated and ventilator-' dependent and it is standard practice to limit the time patients are intubated. Prolonged intubation may further depress one's mental status, and we hoped that Mrs. Marsala's mental ' status might improve when the ventilator was ^continued. I believed that removing the ^^O ventilator and allowing Mrs. Marsala'to try and breathe on her own arid see if her mental status would improve was the best course of treatment after a comprehensive medical . evaluation. 1 i . In an effort to determine whether Mrs. Marsala could be removed from the ventilator, we conducted weaning trials, turning off the ventilator for short period oftiiheto see-if she was capable of breathing on her own. By M y 20,2010, Mrs. Marsala had passed several of mese .weaning trials and she was extubated. None of her family members were present when she was extubated, • 12. Unfortunately, extubation did not have, a significant impact on her mental status, Within a short time after extubation, she started to have difficulty breathing and clearing her secretions. Supplemental oxygen was provided through a BiPAP mask' 13. I advised Mr. Marsala that I had discussed the situation with my colleagues and we felt that further aggressive treatment was futile and not in the best interest of his wife i n that it would not promote her goal of returning home. I told him that I did not believe i t was appropriate to re-intubate Mrs, Marsala if she became unable to breathe on her own, I ' advised Mr, Marsala that I intended to present this case to the Yale-New Haven HospitalEthics Committee for a recommendation about how to proceed, and I invited him to attend 1 the Ethics Corrrmittee meeting. . : 14. On M y 23,2010, the Yale-New Haven Hospital Ethics Committee met to discuss the future care of Helen Marsala.. Mr. Marsala did not attend. At the conclusion of the meeting, the Ethics Conxrnittee recommended that no escalation of Helen Marsala's care should occur; she should not be re-intubated or given vasopressors or dialysis. Yale-New Haven Hospital's Chief of Staff agreed with this recommendation. • ^^P • 15. At Mr; Marsala's request, another physician who had not been mvolvedm Mrs. Marsala's care was asked to provide'a second opinion as to the most appropriate course given her dire prognosis. He concurred with the recommendation of the Ethics Committee at Mrs.' Marsala's care should not be' escalated, comfort care .only should be provided. 16. During the final days of Mrs-.. Marsala's life it became increasingly difficult to get in touch with Mr. Marsala. He was in the Hospital less frequently, and he did not answer or return phone calls. . . 17. My decision to extubate Helen Marsala was based on the results of her spontaneous breathing trials, and the decision of the Ethics Committee that she not be remtubated was made only with concern, for the best course of-treatment for'Helen Marsala. My actions and the actions ofthe medical team caring for Helen Marsala were not intended to cause any emotional distress to any member of her family. Margaret Pisani, M.D. The foregoing individual appeared before me and swore to the truth and accuracy ofthe foregoing this i ) dav of 2014. Notary vPublic/Comrni Public/Cornrri! Of Ofthe the Superior S Court My Commission Expires July 31,2016 ^^Q DOCKET NO.: AAN-CV-12-60T0861-S CLARENCE MARSALA, ET AL. SUPERIOR COURT VS. J.D. OF MILFORD/ANSONIA AT MILFORD YALE-NEW HAVEN HOSPITAL APRIL 29, 2015 MOTION TO STAY ACTION Pursuant to Practice Book §§ 61-11 (f) and 61-12, defendant, Yale-New Haven Hospital ("YNHH" or the "Hospital"), respectfully moves to stay the trial in this matter pending resolution ofthe appeal filed by plaintiffs on April 6, 2015. Plaintiffs have appealed from the decisions on the Hospital's Motions to Strike and for Summary Judgement which disposed of twenty-three of the twenty-seven counts of plaintiffs' first complaint and the sole count of the second complaint filed on behalf of the estate of Helen Marsala. The grounds for this Motion are that the issues raised by plaintiffs' appeals arise from the same facts that are at issue in the remaining counts awaiting trial. Should plaintiffs succeed in reversing judgment on any of the claims on appeal, the matter might be remanded, and could require a trial to resolve the remanded claims. At any such trial, all of the evidence that will be presented in the forthcoming trial would have to be presented again in a subsequent trial. In the interest of judicial economy, and to avoid the prejudice to the Hospital should two trials be required, YNHH respectfully requests the Court stay the forthcoming trial until the issues on appeal are resolved. In support of this motion, YNHH relies on the Memorandum of Law in Support of Motion to Stay Action, filed herewith. ^^R Respectfully submitted, DEFENDANT, YALE-NEW HAVEN HOSPITAL By: /s/ Penny Q. Seaman Penny Q. Seaman Benjamin W. Cheney Wiggin and Dana LLP P.O. Box 1832 New Haven, CT 06508-1832 (203) 498-4400 Juris No. 067700 [email protected] bcheney@wiggin. com 2 ^^S CERTIFICATION This is to certify that a copy of the foregoing was served via electronic mail this 29th day of April 2015, on the following counsel of record: Jeremy C. Virgil, Esq. Zeldes, Needle & Cooper, P.C. PO Box 1740 Bridgeport, CT 06601-1740 [email protected] Is/ Penny O. Seaman Penny Q. Seaman 3 ^^T ORDER 422677 DOCKET NO: AANCV126010861S SUPERIOR COURT MARSALA, CLARENCE Et A l V. YALE-NEW HAVEN HOSPITAL, INC. JUDICIAL DISTRICT OF ANSONIA/ MILFORD AT MILFORD 4/29/2015 ORDER ORDER REGARDING: 04/29/2015 175.00 MOTION FOR STAY The foregoing, having been considered by the Court, is hereby: ORDER: GRANTED 422677 Judge: THEODORE R TYMA AANCV126010861S Page 1 of 1 4/29/2015 ^^U AC 37821/37822 APPELLATE COURT CLARENCE MARSALA, E T A L . VS. MAY 14, 2015 YALE-NEW HAVEN HOSPITAL MOTION T O C O N S O L I D A T E A P P E A L S Pursuant to Practice Book § 61-7(b)(3), defendant-appellee Yale-New Haven Hospital ("the Hospital") moves to consolidate two appeals, AC 37821 and A C 37822, which arise from the same trial court decision entered iri two lawsuits consolidated in the trial court. The cases are factually intertwined, and judicial efficiency dictates that the two appeals be briefed and argued together as if they were a single appeal. A, Brief History Both lawsuits are personal injury actions arising from the death of Helen Marsala at Yale-New Haven Hospital in July 2010. 1 Plaintiffs in the first lawsuit are Clarence Marsala, as administrator o f t h e Estate of Helen Marsala ("the Estate"), Clarence Marsala in his individual capacity as the spouse of Helen Marsala, and their five adult children, Michael, Kevin, Gary, Randy and Tracey Marsala. Plaintiff in the second lawsuit is Clarence Marsala, as administrator of the Estate. The Hospital is the sole defendant in both cases. Both lawsuits seek damages for the Estate allegedly arising from the treatment of the decedent at the Hospital from the same, hospital admission. The first lawsuit also added. - -• Eh T '.. j hi $M SIOZ • • The first lawsuit is docket no, 'AANrt^2j6(itP861 -S in the trial court and no. A C 37822 in this Court. The second lawsuitls, d o c k e t ^ g ; M N - C V 1 2 - 6 0 1 1 7 1 1 - S in the thai court and no. AC 37821 in this Court.. * '"' 1 x ^^V additional claims by the decedent's family members for their own alleged injuries from their emotional distress. B. 2 Factual B a s i s for Motion The appeals in both cases were filed on April 6, 2015, arising from the same trial • court decision dated March 19, 2015 (Tyma, J.). The trial court issued a single, consolidated summary judgment decision filed in both trial court dockets. 3 That decision disposed o f t h e remaining claims asserted in the first lawsuit by the decedent's five adult, children and disposed o f t h e only claim in the second lawsuit. All of those claims, which are before this Court, are factually intertwined and relate to the Hospital's alleged actions with respect to the treatment of the decedent during the hospital admission. All of theplaintiffs in both lawsuits are represented jointly by the same counsel. C. Legal Grounds for Motion Practice Book § 61-7(b)(3) provides: "The appellate court, on motion of any party or on its own motion, may order that appeals pending in the appellate court be consolidated." For good cause shown, and in the interests of judicial efficiency, the Court should consolidate the two appeals arising from the same set of facts and the same trial court decision. 2 The operative complaint in the first lawsuit, the Second Amended Complaint, was filed on October 22, 2012, attached to a motion for leave to amend the complaint, which the trial court granted on December 3, 2012. The operative complaint in the second lawsuit, the initial Complaint, was also dated October 22, 2012, and returned to court on November 9,¬ 2012. 3 The trial court has also just issued a single judgment file, entered on the dockets of both lawsuits. 2 ^^NM W H E R E F O R E , the Hospital respectfully requests that the Court grant this motion and consolidate the two appeals for purposes of briefing and oral argument, with a single briefing schedule. DEFENDANT-APPELLEE Y A L E - N E W HAVEN HOSPITAL Jeffrey R. Babbin Wiggin and Dana LLP One Century Tower P.O. Box 1832 New Haven, CT 06508-1832 (203) 498-4400 (tel.) (203) 782-2889 (fax) Juris No. 67700 3 ^^NN CERTIFICATE OF COMPLIANCE I hereby certify that the foregoing complies with all o f t h e provisions o f t h e Connecticut Rules of Appellate Procedure § 66-3. Jeffrey F£ Babbin ^^NO CERTIFICATION th I hereby certify that on this 14 day of May, 2015, a copy of the foregoing motion was served by first-class mail, postage prepaid, and by e-mail upon all counsel and pro se parties of record as follows: Jeremy C. Virgil, Esq. Zeldes, Needle & Cooper, P.C. P.O. Box 1740 Bridgeport, CT 06601-1740 (203) 332-5775 (tel.) (203) 333-1489 (fax) [email protected] -b" *r Jeffrey R. Babbin 487/13067/3282450.1 ^^NP APPELLATE COURT STATE OF CONNECTICUT A C 37821 / 37822 CLARENCE MARSALA ET A L V. Y A L E NEW HAVEN HOSPITAL JUNE 1 1 , 2 0 1 5 ORDER T H E MOTIONS OF T H E DEFENDANT-APPELLEE, FILED MAY 14, 2015, TO CONSOLIDATE APPEALS, HAVING BEEN PRESENTED T O T H E COURT, IT IS HEREBY O R D E R E D G R A N T E D . PURSUANT TO P.B. §61-7, ALL A P P E L L A N T S SHALL FILE A SINGLE, CONSOLIDATED BRIEF A N D APPENDIX. A L L A P P E L L E E S SHALL FILE A SINGLE, CONSOLIDATED BRIEF OR, IF A P P L I C A B L E , A SINGLE, CONSOLIDATED BRIEF A N D APPENDIX. ALL FILINGS S H A L L INCLUDE D O C K E T NUMBERS A.C. 37821 A N D A.C. 37822, BUT BRIEFS A N D A P P E N D I C E S S H A L L BE UPLOADED UNDER A.C. 37821 ONLY. RENE L. ROBERTSON T E M P O R A R Y A S S I S T A N T CLERK-APPELLATE NOTICE SENT: June 1 1 , 2015 WIGGIN & DANALLP Z E L D E S , NEEDLE & C O O P E R 143169/143170 ^^NQ Page 1 1 2 SUPERIOR COURT JD OF MILFORD/ANSONIA AT MILFORD 3 DOCKET NO. 7AAN-CV-12-6010861-S 4 5 x CLARENCE MARSALA, ADMINISTRATOR OF THE ESTATE OF HELEN MARSALA, 6 Plaintiff 7 vs . 8 YALE-NEW HAVEN HOSPITAL, 9 10 Defendant 11 x 12 A u g u s t 2 0 , 2014 13 11:01 a.m. 14 15 DEPOSITION o f ANDREW BOYD, M.D., held at the 16 offices o f W i g g i n a n d Dana LLP, 450 L e x i n g t o n A v e n u e - 17 Suite 18 b e f o r e ELIZABETH SANTAMARIA, a N o t a r y P u b l i c 19 S t a t e o f New 3 8 0 0 , New Y o r k , New Y o r k , p u r s u a n t t o N o t i c e , of the York. 20 21 22 23 24 25 Fink & Carney Reporting and Video Services West 37th Street * New York, New York 10018 (800) NYC-FINK * (212) 869-: ^^NR 1 2 Boyd the tracheotomy. 3 So o n e o f t h e d i f f i c u l t i e s 4 logistically 5 the ethics 6 situation 7 has b o t h a t r a c h e o t o m y 8 hemodialysis. 9 Q 10 that 11 brain, or practically, o f i t , i s finding a place or a o r a c a r e t e a m t o manage You s a i d as w e l l that i sthat right, 12 A Correct. 13 Q I s that state? 15 A Again, as r e q u i r i n g slowing o f the o f mental function? consistent with it' s — someone who your r e c o l l e c t i o n i s a n EEG s h o w e d d i f f u s e 14 i naddition t o a comatose I d o n ' t have t h e 16 expertise o f , say,a n e u r o l o g i s t 17 comment o n t h e s p e c i f i c d e f i n i t i o n s o f w h a t i s 18 c o n s i d e r e d comatose b o t h f r o m a 19 perspective b u talso I 20 would t o be a b l e t o clinical f r o m a n EEG p e r s p e c t i v e . say t h a t i ngeneral I diffuse — 21 w h a t my u n d e r s t a n d i n g i s , t h a t 22 means t h e p a t i e n t 23 status. 24 h a s t o b e t o b e p u t i n t o coma o r i f someone i s 25 a coma a n d t h e n we l o o k a t t h e EEG a n d has a depressed But I don't know how s l o w slowing mental something Fink & Carney Reporting and Video Services West 37th Street * New York, New York 10018 (800) NYC-FINK ^^NS 1 2 Boyd d e t e r m i n e how t h e y 3 Q This 4 I 5 signature think it's correlate. DNR o r d e r t h a t page 1 on E x h i b i t i sdated A Yes. 7 Q And what does y o u r connote? Why d o y o u s i g n A 9 1, your I t means t h a t signature this? i t has been 10 by an i n t e r n 11 that 12 needs t o be s i g n e d b y and t h e r e f o r e 13 reviewed by the a t t e n d i n g doctor. o r a r e s i d e n t as b e i n g t h e y a r e aware o f t h e e n t r y , Q 14 you had n o t had a c o n v e r s a t i o n 16 Mr. M a r s a l a 17 b e made DNR? A 19 if 20 patient's 21 that 22 I 23 when he t o l d No. I would I had e i t h e r valid, and then i t connote she s h o u l d o n l y have s i g n e d this had t h e conversation w i t h a family have s i g n e d even i f with you t h a t o r had d i r e c t c o n v e r s a t i o n being had. Q reviewed Would y o u have s i g n e d t h i s 15 18 shown, J u l y 4, 2 0 1 0 , c o r r e c t ? 6 8 y o u were knowledge o f Only then would it. The l a w y e r f o rthe p l a i n t i f f i s 24 implying t h a t because your note documenting 25 y o u r c o n v e r s a t i o n w i t h Mr. M a r s a l a i s dated Fink & Carney Reporting and Video Services West 3 7th Street * New York, New York 10018 (800) NYC-FINK * ^^NT 1 Boyd 2 July 4 t h b u t you 3 July 1st, that 4 y o u r n o t e , i s t h e r e any 5 that 6 7 you No, Q 9 written say, 11 Ms. M a r s a l a ' s 12 w i t h Mr. 13 statement? 15 "Last Thursday, structure I'm i s no And July q u e s t i o n i n my you would a T h u r s d a y on 19 Ms. M a r s a l a ' s 20 w i t h Mr. 21 if to t o meet the question. July 1 s t , 2010 "Last called to b e d s i d e by h e r n u r s e t o meet Marsala"; not I was would you have w r i t t e n that true? A No. 23 Q Is i t accurate that went t o meet w i t h A you called I misunderstood 22 25 have correct Would you have w r i t t e n 18 24 mind Okay. 17 i t was not 4 t h where 1 s t , I was i s that sorry. of the Q 16 mind Marsala? bedside by her nurse Marsala"; A Given q u e s t i o n i n your note dated July 10 false. him. A l l right. this t o a c o n v e r s a t i o n on n o t e was there I spoke t o 8 14 that s p o k e t o Mr. A that refer Mr. on July 1st you Marsala? Yes. Fink & Carney Reporting and Video Services West 37th Street * New York, New York 10018 (800) NYC-FINK ^^NU 1 2 3 4 5 6 Boyd Q had spoken A You n e x t w r i t e , "He t o l d me t h a t h e t o Dr. S i e g e l . " Who i s D r . S i e g e l ? Dr. S i e g e l attending doctors Q t o Mr. M a r s a l a , 8 ahead w i t h 9 he w o u l d 10 i n t h e ICU. "And t h a t 7 i s a n o t h e r one o f t h e f o r now, h e " — I believe the trach. like — "would However, he s a i d t o make M r s . M a r s a l a Did I read that A 13 Q 14 Mr. M a r s a l a 15 Mrs. M a r s a l a 16 A No, I w o u l d n o t h a v e . 17 Q Then y o u s a i d , 18 Dr. M a r s h a l l 19 Dr. M a r s h a l l ? 22 23 t o go that DNR w i t h n o properly? 12 21 like compressions o r d e f i b r i l l a t i o n s . " 11 20 referring A Yes. Would y o u have w r i t t e n t h a t i f had n o t t o l d t o b e DNR? " I spoke about t h i s . " Dr. M a r s h a l l newest a t t e n d i n g Q y o u he w a n t e d taking So h e w o u l d with Who i s i st h elatest or dare o f t h e p a t i e n t . a l s o b e a n IC U attending? 24 A Correct. 25 Q And Dr. Marshal said that he w o u l d Fink & Carney Reporting and Video Services West 37th Street * New York, New York 10018 (800) NYC-FINK ^^NV 1 Boyd 2 get i ntouch w i t h Mr. M a r s a l a 3 Mr. M a r s a l a about that 4 A About — 5 specifically about t h e trach. Q Okay. 7 A The t r a c h e o t o m y . 8 Q Got i t . And i s t h e r e a n y p a r t 9 that As I r e c a l l reviewing this Q 13 of that and, a g a i n , i n note, no. A t any time t h a t y o u were 14 care o f Mrs. Marsala, 15 understanding o f her f i n a n c i a l condition? A No. 17 Q D i d y o u know how h e r b i l l s being taking d i d y o u have any 16 18 note i sn o t accurate? A 11 12 with also? 6 10 and t a l k were paid? 19 A No. 20 Q D i d y o u know i f t h e y w e r e 22 A No. 23 Q Were a n y t r e a t m e n t d e c i s i o n s made 21 24 25 being paid? based on h e r f i n a n c i a l A ability t o pay? No. Fink & Carney Reporting and Video Services 3 9 West 3 7th Street * New York, New York 10018 (800) NYC-FINK * ^^OM 1 Boyd 2 Q Do y o u r e c a l l t h a t Mrs. Marsala had 3 weaning t r i a l s 4 taking 5 A Yes. 6 Q Can y o u e x p l a i n what a weaning A weaning t r i a l i s , as a g e n e r a l 7 t h e time that you were o f her? trial is? 8 9 care during A principle, done t o mock o r s i m u l a t e t h e 10 c o n d i t i o n s under which 11 o n t h e i r own. 12 So t h o u g h a patient a patient 13 tube i n t h e i r 14 the v e n t i l a t o r 15 air 16 the patient can breathe 17 see i f t h e y are able 18 take t h e tube pressure still has a m o u t h , we e s s e n t i a l l y t u r n o f f machine w i t h a little t o keep t h e t u b e b i tof open a n d t h e n on t h e i r t o breathe own. So we w e r e we t o out. Now, t h o s e 19 can breathe weaning t r i a l s a r e 20 done — c a n be done v i a w e a n i n g so y o u c a n 21 start 22 y o u c a n g i v e some s u p p o r t 23 breaths and then 24 support o r h e l p day by day u n t i l 25 the point with a c e r t a i n amount o f h i g h with some you t r y t o decrease where t h e c o n d i t i o n s pressure, extra that you g e t t o a r e such that Fink & Carney Reporting and Video Services ? West 3 7th Street * New York, New York 10018 ^^ON (800) NYC-FINK * 1 Boyd 2 you can c o n f i d e n t l y 3 a r e b r e a t h i n g on t h e i r 4 volume t h a t 5 able t o breathe 6 come out. 7 the tube would be — 9 to out, and a t a t h e y w o u l d be own s h o u l d t h e tube you've even taken o u t t h e y w o u l d be a b l e t o b r e a t h e o n t h e i r own. Q I s i t standard weaning t r i a l s 13 ventilator? 14 A Yes. 15 Q And t h a t purpose; A 17 practice on p a t i e n t s i sthat that i t helps 19 that i st h ep a t i e n t 20 can watch t h a t 21 their us d e c i d e , therapeutic p u r p o s e i n t h e sense with doing And i n t h i s some evidence, i t themselves t h e y ' l l be a b l e own i f t h e t u b e i f we t o b r e a t h e on w e r e t o come o u t . case, do y o u r e c a l l 23 t h a t w h i l e y o u were c a r i n g 24 s h e was g i v e n w e a n i n g A who a r e o n a has a v a l i d I t has a v a l i d Q t o do true? 18 25 they y o u have a sense o f i f y o u were 12 22 that on t h e i r take t h etube 11 16 essentially own a t a r a t e And t h e n b e f o r e 8 10 say t h a t f o r Mrs. Marsala trials? Yes. Fink & Carney Reporting and Video Services West 3 7th Street * New York, New York 10018 (800) NYC-FINK * ^^OO 1 2 3 Boyd Q could breathe 4 A 5 Q 6 And t h e r e were i n d i c a t o r s weaning 7 A 8 Q The r e c o r d s Does t h a t mean t h a t extubated? Q she p o s s i b l y c o u l d be 14 correct? o f f so she c a n b r e a t h e Yes. tube o u t o f t h ep a t i e n t ' s 17 b r e a t h e o n t h e i r own. 19 Q A patient indefinitely, A That's 21 Q Why 22 A Again, can't remain so t h e y c a n intubated correct. not? a pulmonologist. this i s more t h e p u r v i e w o f They a r e more o f an e x p e r t . B u t i n my u n d e r s t a n d i n g , 24 25 trachea c a n she? 20 23 o n h e r own, I t means c o m p l e t e l y t a k e t h e 16 18 training safely A n d e x t u b a t e d means t a k e t h e ventilator A that t h e r e were Yes. 13 15 say she passed h e r Yes. 10 12 right? trial. indicators A I s that Yes. 9 11 o n h e r own. t h a t she i n i n t e r n a l medicine, having thet r i a l s are Fink & Carney Reporting and Video Services 39 West 37th Street * New York, New York 10018 ^^OP (800) NYC- Page 1 Boyd 2 usually 3 s t a y i n f o r two weeks. 4 that 5 malacia, 6 the trachea 7 not having two weeks, m e a n i n g t h e i n t u b a t i o n The reason i s beyond a breakdown o f t h e t r a c h e a i t s e l f t o support itself. you can a l s o g e t 9 breakdown o f s k i n and t i s s u e 10 and i n t h e t h r o a t because o f t h e p r e s s u r e 11 the tube against those 12 Q 13 Mrs. Marsala 14 July 20th, 15 of her at t h a t The r e c o r d s was No. 17 Q While Mrs. Marsala, 19 children? 22 t h e mouth of areas. indicated that Were y o u s t i l l taking — care time? A 18 around e x t u b a t e d on June 2 0 t h 2010. 16 I so s t a r t s t o c o l l a p s e because i t ' s And s i m i l a r l y 20 can you can g e t a t r o p h y o r what i s c a l l e d 8 21 78 you were t a k i n g d i d y o u know t h a t care of she h a d A I can't recall that precisely. don't — I don't know. Q In this complaint the Haven H o s p i t a l No, Marsalas 23 c l a i m t h a t Yale-New 24 agents, e m p l o y e e s , s t a f f members i n t e n d e d t o 25 inflict emotional distress o n Mr. and i t s Marsala. y^T^yfc. Fink & Carney Reporting and Video Services ? West 37th Street * New York, New York 10018 (800) NYC-FINK * (212) 869-30< ^^OQ H e r n a n d e z v. Y a l e New H a v e n H o s p . , Not R e p o r t e d in A . 2 d (2010) emotional distress. On June 23, 2009, the defendant filed a motion to strike counts two and three. The plaintiff filed a 2010 W L 3786861 memorandum i n opposition to the motion on October 2 1 , O n l y t h e W e s t l a w c i t a t i o n is c u r r e n t l y available. 2009. The defendant filed its reply on December 3, 2009. UNPUBLISHED OPINION. CHECK The parties appeared for oral argument at short calendar on COURT RULES BEFORE CITING. August 2, 2010. A t oral argument, the defendant withdrew S u p e r i o r C o u r t o f Connecticut, his motion to strike count two. The parties agreed that the Judicial District of New Haven. p l a i n t i f f s recovery under this count is predicated upon and limited to the damages allowed by General Statutes § 52-204, J u l i a n H E R N A N D E Z et al. which states: " I n any c i v i l action arising out of personal injury v. or property damage, as a result o f which personal injury or property damage the husband or parent o f the p l a i n t i f f YALE N E W H A V E N HOSPITAL. has made or w i l l be compelled to make expenditures or has No. CV095028884S. I contracted indebtedness, the amount o f such expenditures or A u g . 31, 2010. indebtedness may be recovered by the plaintiff, provided a Synopsis recovery by the plaintiff shall be a bar to any claim b y such Background: Mother, who witnessed her son's thumb and husband or parent, except i n an action in which the husband or finger turn blue i n hospital, filed medical malpractice suit parent is a defendant." As such, this memorandum of decision against hospital, which included a count for emotional w i l l only address the legal sufficiency o f count three. distress to a bystander. Hospital filed motion to strike the bystander count. Discussion Holdings: The Superior Court, Judicial District o f New Haven, Wilson, J., held that: "The purpose o f a motion to strike is to contest... the legal sufficiency o f the allegations o f any complaint ... to state a claim upon which relief can be granted." (Internal quotation [1] a cause o f action for bystander emotional distress is permitted i n a medical malpractice case, and marks omitted.) Fort Trumbull Conservancy, LLC v. Alves, 262 Conn. 480, 498, 815 A . 2 d 1188 (2003). " A motion to strike is the proper procedural vehicle ... to test whether [2] mother's allegations were insufficient to state claim for bystander emotional distress. Connecticut is ready to recognize some newly emerging ground o f liability." (Internal quotation marks omitted.) Blue v. Renaissance Alliance, Superior Court, judicial district o f New Haven at Meriden, Docket N o . C V 05 4001949 (May M o t i o n granted. 12, 2006, Shluger, J .). The defendant argues that count three should be stricken W I L S O N , J. because a cause o f action for bystander emotional distress i n the context o f a medical malpractice action is not recognized Facts and Procedural under Connecticut law. Moreover, the defendant argues that History even i f Connecticut recognized a cause of action for bystander * 1 This action arises f r o m injuries allegedly sustained by emotional distress i n the context o f a medical malpractice Julian Hernandez and his mother, Aurora Hernandez, due to action, the p l a i n t i f f failed to state a claim pursuant to the the negligence o f the defendant, Yale New Haven Hospital. four-part test enunciated by the Supreme Court i n Clohessy v. Count one o f t h e complaint alleges that Julian Hernandez was Bachelor, negligently treated by the defendant. Count two alleges that counters that Clohessy the plaintiff, Aurora Hernandez, suffered economic damages bystander emotional distress i n Connecticut regardless o f as a result o f her son's injuries and count three alleges whether the underlying negligence has arisen i n the medical that the defendant is liable to the p l a i n t i f f f o r bystander malpractice context. Resolution o f this motion, therefore, 237 Conn. 3 1 , 675 A . 2 d 852 (1996). The plaintiff established a cause o f action for 1 ^^OR H e r n a n d e z v. Y a l e New H a v e n H o s p . , Not R e p o r t e d in A . 2 d (2010) depends on whether a cause of action for bystander emotional states prior to 1959, which universally denied recovery f o r distress should be recognized i n the medical malpractice bystander emotional distress the court held that the plaintiff context and i f so, whether the plaintiffs allegations satisfy the cannot recover f o r injuries occasioned by fear o f threatened Clohessy harm or injury to the person or property o f another ... Such test. injuries are too remote i n the chain o f causation to permit recovery... Even where a plaintiff has suffered physical injury i n the accident, there can be no recovery for nervous shock A and mental anguish caused by the sight of injury or threatened harm to another." (Internal quotation marks omitted.) Id., at Bystander Emotional Distress under Connecticut Law 35, 675 A.2d 852. * 2 The Clohessy court discussed the evolution of bystander emotional distress i n Connecticut by examining three pivotal cases: Strazza v. McKittrick, (1959); Amodio 146 Conn. 714, 156 A . 2 d 149 v. Cunningham, (1980); and Moloney v. Conroy, 182 Conn. 80, 438 A . 2 d 6 208 Conn. 392, 545 A . 2 d 1059 (1988). The court finds the Clohessy court's analysis o f these decisions instructive and thus, repeats i t below. " I n Amodio, physician's alleged medical malpractice that she claimed caused the death o f her daughter. The plaintiff urged this court to recognize a cause o f action for bystander emotional distress as set forth in Dillon v. Legg, 68 Cal.2d 728,441 P.2d 912, 69 Cal.Rptr. 72 (1968). The California Supreme Court in Dillon, " I n Strazza, the plaintiff mother sought damages f o r emotional distress sustained as a result o f the defendant the defendant negligently drove his truck onto the porch o f the plaintiffs house. The impact shook the house, causing the plaintiff to drop the dishes [she was holding], lose her balance, and lean against the sink ... The plaintiff screamed w i t h fright and became hysterical, thinking o f disaster by earthquake ... Sometime after the impact, her husband inquired about [their seven year old child], and the plaintiff, thinking that the boy had been on the porch, became fearful that he had been injured. This fear aroused a new anxiety ... The plaintiffs only medical treatment was for a nervous condition that resulted f r o m the fear o f injury to her relying on established principles o f negligence, focused on foreseeability, and held that "since the chief element i n determining whether [a] defendant owes a duty or an obligation to [a] plaintiff is the foreseeability o f the risk, that factor w i l l be o f prime concern i n every case. Because i t is inherently intertwined with foreseeability such duty or obligation must necessarily be adjudicated only upon a case-by-case basis ... The Dillon court then set forth three factors to consider i n determining whether the emotional injury to the bystander is reasonably foreseeable: (1) Whether [the] plaintiff was located near the scene o f the accident as contrasted w i t h one who was a distance away f r o m it. (2) child. The court concluded that the plaintiff, because she was Whether the shock resulted f r o m a direct emotional impact w i t h i n the range o f ordinary danger, could recover damages upon [the] plaintiff f r o m the sensory and contemporaneous for the emotional distress she experienced as a result o f her being put i n fear for her own safety, even though she had sustained no consequential physical injury ... I n reaching its conclusion, the court relied on Orlo v. Connecticut Co., 128 Conn. 231,239,21 A.2d 402 (1941), which held that where i t is proven that negligence proximately caused fright or shock observance o f the accident, as contrasted w i t h learning o f t h e accident f r o m others after its occurrence. (3) Whether [the] plaintiff and the v i c t i m were closely related, as contrasted w i t h an absence o f any relationship or the presence o f only a distant relationship." (Citation omitted; internal quotation marks omitted.) Id., at 35-36, 69 Cal.Rptr. 72, 441 P.2d 912. [with respect to the person's own safety] i n one who is w i t h i n the range o f ordinary physical danger f r o m that negligence, and this i n turn produced injuries such as would be elements o f damage had a bodily injury been suffered, the injured party is entitled to recover." (Citations omitted; internal quotation marks omitted.) Clohessy v. Bachelor, supra, 237 Conn, at 34-35, 675 A . 2 d 852. * 3 "The Dillon court went on to state that the evaluation of these factors w i l l indicate the degree o f the defendant's foreseeability: obviously [the] defendant is more likely to foresee that a mother who observes an accident affecting her child w i l l suffer harm than to foretell that a stranger witness w i l l do so. Similarly, the degree o f foreseeability o f the third person's injury is far greater i n the case o f his " I n Strazza, however, the court did not permit the plaintiff to recover f o r the fright she had suffered f r o m mistakenly believing that her child had been on the porch and had been contemporaneous observance o f the accident than that i n which he subsequently learns o f it. The defendant is more likely to foresee that shock to the nearby, witnessing mother injured. Relying upon the decisions o f the courts o f other VVesilawNext' © 2015 T h o m s o n Reuters. No claim to original U.S. G o v e r n m e n t W o r k s . ^^OS 2 H e r n a n d e z v. Y a l e N e w H a v e n H o s p . , Not R e p o r t e d in A . 2 d (2010) w i l l cause physical harm than to anticipate that someone distant f r o m the accident w i l l suffer more than a temporary *4 " I n Moloney, this court, again leaving the door open for the foreseeability rule as set forth i n Dillon, rejected the emotional reaction. A l l these elements, o f course, shade into California Supreme Court's reasoning i n Ochoa. each other; the f i x i n g o f obligation, intimately tied into the may be the situation i n other contexts where bystander Whatever facts, depends upon each case." (Internal quotation marks emotional disturbance claims arise, we are convinced that, omitted.) Id., at 36, 69 Cal.Rptr. 72, 441 P.2d 912. w i t h respect to such claims arising f r o m malpractice on "The court i n Amodio i n Strazza another person, we should return to the position we articulated recognized that a growing number that there can be no recovery for nervous shock o f jurisdictions, beginning i n 1968 w i t h the California and mental anguish caused by the sight of injury or threatened decision i n Dillon harm to another." (Internal quotation marks omitted.) Id., at ... have recently recognized a cause o f action for emotional distress i n favor o f a bystander 37-38, 1 5 6 A . 2 d l 4 9 . to the negligently caused injury o f another party ... The court also observed that under Dillon the requirement o f A f t e r analyzing these three decisions, the Clohessy court sensory and contemporaneous observance does not require concluded: "We believe the time is ripe to recognize a cause a visual perception o f the impact although it does require o f action f o r bystander emotional distress. Under certain that the plaintiff bystander otherwise apprehend the event... circumstances ... we conclude that a tortfeasor may owe a Without rejecting the foreseeability approach, the Amodio legal duty to a bystander. Consequently, a tortfeasor who court held that the plaintiff mother could not recover breaches that duty through negligent conduct may be liable under Dillon because she did not have a contemporaneous for a bystander's emotional distress proximately caused by sensory perception o f the doctor's acts o f negligence. that conduct. Accordingly, we now overrule Strazza Merely observing the consequences o f the to the defendant's extent that i t conflicts w i t h our opinion i n this case." Id., at without perceiving 46, 156 A . 2 d 149. " [ A ] bystander may recover damages for the actual negligent behavior, however, is insufficient to emotional distress under the rule o f reasonable foreseeability maintain a cause o f action for emotional distress to a i f the bystander satisfies the following conditions: (1) he negligence towards another person bystander." (Citations omitted; internal quotation marks or she is closely related to the injury victim, such as the omitted .) Id, at 36-37, 69 Cal.Rptr. 72, 441 P.2d 912. parent or the sibling o f the victim; (2) the emotional injury "This court again addressed the question o f bystander perception o f the event or conduct that causes the injury, or emotional distress by arriving on the scene soon thereafter and before substantial o f the bystander is caused b y the contemporaneous sensory based upon medical malpractice i n 208 Conn, at 392, 545 A . 2 d change has occurred i n the victim's condition or location; (3) 1059, where the tort victi m was the plaintiffs mother. the injury of the victim must be substantial, resulting i n his or A f t e r Amodio, her death or serious physical injury; and (4) the bystander's Moloney v. Conwy, supra, but before Moloney California, i n Ochoa v. Superior was decided, however, Court, 39 Cal.3d 159, 703 P.2d 1, 216 Cal.Rptr. 661 (1985), relaxed Dillon 's contemporaneous sensory perception requirement i n the context o f a medical malpractice case. I n Ochoa, Moloney, emotional injury must be serious, beyond that w h i c h would be anticipated i n a disinterested witness and w h i c h is not the result o f an abnormal response." Id., at 56, 156 A . 2 d 149. as i n the plaintiff observed the effects o f the medical A f t e r Clohessy, the Supreme Court rendered its opinion in malpractice over a period o f time. The Supreme Court o f Murillo California concluded that the sudden occurrence requirement 823 A . 2 d 1202 (2003). I n Murillo, v. Seymour Ambulance Assn., Inc., 264 Conn. 474, is an unwarranted restriction on the Dillon guidelines ... to have been injured i n a f a l l after observing a medical and that the contemporaneous perception o f the negligent procedure performed on her sister. See id., at 476, 823 A . 2 d the plaintiff claimed act requirement for a medical malpractice case was satisfied 1202. The court affirmed the trial court's finding that the when there is observation o f t h e defendant's conduct and the defendants, an ambulance company, a hospital and their child's injury and contemporaneous awareness the defendant's respective employees, owed no duty to the plaintiff. See id. conduct or lack thereof is causing harm to the child." (Citation I n reaching this conclusion, the court analyzed "four factors omitted; internal quotation marks omitted.) Id., at 37, 69 to be considered i n determining the extent o f a legal duty as Cal.Rptr. 72, 441 P.2d912. a matter o f public policy: (1) the normal expectations o f t h e participants i n the activity under review; (2) the public policy o f encouraging participation i n the activity, while weighing 3 ^^OT H e r n a n d e z v. Y a l e N e w H a v e n H o s p . , Not R e p o r t e d in A . 2 d (2010) the safety o f the participants; (3) the avoidance o f increased 5006536 (August 11,2008, Gilligan, J.); Meister v. litigation; and (4) the decisions o f other jurisdictions." Id., at Community 480, 823 A . 2 d 1202. litigation docket at Tolland, Docket No. X07 C V 03 0082430 Memorial Hospital, Windham Superior Court, complex (April 27, 2004, Sferrazza, J.) (36 Conn. L . Rptr. 876). I n regard to the first and second factors, the court relied upon Moloney i n its analysis. See id, at 480-81, 823 A . 2 d 1202. Judges o f the Superior Court are also persuaded that because "The reasonableness o f [the expectations o f the plaintiff, Moloney a bystander; her sister, the defendants' patient; and the to the view that Moloney defendants] is underscored by a decision i n which this court See Calabrese rejected a claim f o r negligent infliction o f emotional distress judicial district o f Waterbury, Docket No . C V 09 5012012 by a plaintiff who had observed allegedly negligent medical (June 30, 2009, Sheedy, J.) (48 Conn. L . Rptr. 119); Wales treatment o f her mother ... I n Moloney, the court commented was cited favorably i n Murillo, i t lends credence was not overruled by v. Connecticut v. Yale New Haven Hospital, Hospice, Clohessy. Inc., Superior Court, supra, Superior Court, Docket that medical judgments as to the appropriate treatment o f No. C V 08 5025413; Seda v. Maxim Healthcare a patient ought not to be influenced b y the concern that a Superior Court, judicial district o f Hartford, Docket No . C V Services, visitor may become upset f r o m observing such treatment... 07 5010811 ( A p r i l 8, 2008, Elgo, J.); Estaba v. Yale New The focus o f the concern o f medical care practitioners should Haven Hospital, be upon the patient and any diversion o f attention or resources Docket No . C V 06 5005503 (January 10, 2008, Blawie, J.) Superior Court, judicial district o f Fairfield, to accommodate the sensitivities o f others is bound to detract (44 Conn. L . Rptr. 774). f r o m that devoted to patients." Id. Furthermore, "[a]s a matter o f public policy, and as we previously stated i n Moloney, [1] Despite this majority, the court, after a careful review o f the law should encourage medical care providers, such as the Moloney, defendants, to devote their efforts to their patients, and not be established a cause o f action f o r bystander emotional Murillo and Clohessy, is persuaded that Clohessy obligated to divert their attention to the possible consequences distress i n any context, so long as the p l a i n t i f f s allegations to bystanders o f medical treatment o f the patient." (Citations sufficiently satisfy the rale o f reasonable foreseeability. This omitted.) Id, at 481, 823 A . 2 d 1202. position has some support amongst decisions o f t h e Superior Court. See Johnson * 5 I n light o f Moloney, Clohessy and Murillo, there exists v. Edelstein, Superior Court, judicial district o f Hartford, Docket No . C V 04 0834151 (August 3 1 , "a split o f authority among the judges o f the Superior Court 2005, Hale, J.T.R.) (39 Conn. L . Rptr. 881); Desjardins as to whether a claim for bystander emotional distress may William Backus Hospital, v. be brought i n the context o f a medical malpractice action. N e w London, Docket No . 562748 (April 25, 2003, Hurley, One line o f cases follows the Supreme Court's decision i n J.T.R.) (34 Conn. L . Rptr. 515); Pollard v. Norwalk Moloney, holding that bystander emotional distress claims are Superior Court, judicial district o f Fairfield, Docket N o . C V Superior Court, judicial district o f Hospital, not permitted i n medical malpractice actions ... Other judges 98 0355354 (February 18, 1999, Skolnick, J.); o f t h e Superior Court have held that Clohessy permits claims v. Desper, for bystander emotional distress to apply to all situations, DocketNo. 144050 (October 19,1998, Shortall, J.) (23 Conn. including medical malpractice, provided that the rule o f L . Rptr. 321); Rios v. Kozlowski, reasonable foreseeability, as limited by four factual criteria, district o f Hartford, Docket No . 576510 (August 24, 1998, has been met." (Internal quotation marks omitted.) Teller, J.) (22 Conn. L . Rptr. 564); Bond v. Kalla, v. Boland, Burnette Superior Court, judicial district o f N e w London, Superior Court, judicial Superior Court, judicial district o f N e w London, Docket No. 543295 (April 13, 1998, Koletsky, J.) (21 Conn. L . Rptr. 682). Docket N o . C V 08 5009111 ( A p r i l 23, 2010, Martin, J.). A n overwhelming majority o f decisions o f the Superior Court conclude that Moloney Blanchette Superior Court, judicial district o f Waterbury, is still good law, and that *6 "Clohessy has f i r m l y established a cause o f action for bystander emotional distress i n Connecticut regardless a cause o f action f o r of whether the action arises f r o m medical malpractice ... bystander emotional distress i n a medical malpractice case. Connecticut now offers a remedy to any bystander i n any Connecticut does not recognize See Wales v. Yale New Haven Hospital, Superior Court, context who can satisfy the four Clohessy factors. M u c h is judicial district o f New Haven, Docket N o . C V 08 5025413 made o f the fact that while Clohessy v. Bachelor (June 22, 2009, Keegan, J.); Viagrande case o f Strazza v. McKittrick v. Rocco, Superior Court, judicial district o f N e w Britain, Docket No . C V 08 to overrule Moloney, ... the Clohessy overruled the court declined although the Clohessy opinion discusses 4 ^^OU H e r n a n d e z v. Y a l e N e w H a v e n H o s p . , Not R e p o r t e d in A . 2 d (2010) Strazza and Moloney i n the same context... However, i t was simply not necessary to overrule Moloney because holding is not inconsistent w i t h Clohessy Moloney's ... [T]he trial court found, and the Supreme Court upheld i n Moloney, theplaintiff chooses not to read Moloney as a blanket prohibition on all bystander claims involving medical malpractice ... I n light o f Clohessy, this court recognizes Moloney for disclosing and analyzing the weaknesses o f a bystander claim f o r did not allege that she suffered an injury contemporaneous emotional distress under the precise circumstances o f that w i t h her perception o f the alleged medical malpractice o f the case. However, i f there are circumstances i n the medical defendants ... I t is clear that even under the Clohessy malpractice context where a plaintiff can allege and prove the plaintiff i n Moloney test, would have failed to state a valid all four Clohessy criteria, then recovery should not be claim for bystander emotional distress." (Citations omitted; denied." (Citation omitted.) Id. The court agrees w i t h this internal quotation marks omitted.) Drew v. William analysis and additionally, finds that Murillo Hospital, Backus Superior Court, judicial district o f New London, Docket No. 550724 (September 30, 1999, Hurley, J.) (25 Conn. L . Rptr. 534, 536), a f f d, 77 Conn.App. 645, 825 A . 2 d 810, cert, granted, 265 Conn. 909, 831 A . 2 d 249 (2003). 1 to the present case. I n Murillo, is inapposite the plaintiff did not allege medical negligence on the part o f the defendants, rather she alleged that her observation o f a medical procedure performed on her sister caused her to faint and sustain injuries. 1 * 7 Given the court's view that Clohessy established a cause The Appellate Court in Drew noted: "Having resolved o f action f o r bystander emotional distress i n any context, the that claim as we did, we, like the trial court, have court must next determine whether the facts alleged i n the no occasion on which to opine as to whether a claim present case satisfy the four-part test enunciated i n Clohessy. for bystander emotional distress based on medical malpractice is legally cognizable." 77 Conn.App. 670, n. 9. Furthermore, the appeal to the Supreme Court was withdrawn on December 22, 2003. The trial court i n Drew B continued: "This court recognizes how difficult it is for a plaintiff to successfully allege and Plaintiffs prove a cause o f action for bystander emotional distress in the medical malpractice context. As the Clohessy Court Allegations Under the Clohessy Test The defendant contends that the plaintiff fails to satisfy states, 'there generally is no significant observable traumatic the second element o f the Clohessy event for a p l a i n t i f f to contemporaneously observe and injury be caused b y the contemporaneous sensory perception thereby suffer emotional distress.' ... However, i t is not hard o f the event to envision particular instances where a plaintiff, who is Supreme Court has stated that "[mjerely observing the closely related to a medical patient, actually observes an consequences o f the defendant's negligence towards another act o f medical malpractice and contemporaneously suffers person without perceiving the actual negligent behavior, emotional distress as a result. As an extreme example, however, is insufficient to maintain a cause o f action f o r test, that the emotional or conduct that causes the injury. The suppose a woman accompanies her husband i n an emergency emotional distress to a bystander." Amodio v. Cunningham, room and watches as the doctors attempt to apply a heart supra, 182 Conn, at 90, 438 A . 2 d 6. In Amodio, the plaintiff defibrillator i n order to prevent the patient f r o m dying o f mother contacted the defendant doctors when her daughter a heart attack. Negligently, however, the doctors misapply began having breathing difficulty. See id., at 83, 438 A . 2 d 6. the defibrillator and, consequently, electrocute and k i l l the The defendants prescribed medication, and when the child's patient. I f the plaintiff has observed this entire tragic episode, condition worsened, they examined, but negligently released and contemporaneously suffers serious emotional distress, her without further treatment. Thereafter, the daughter's heart what good reason is there f o r denying the plaintiff recovery stopped during an episode at home during which mother had for her emotional distress?" Id, at 537, 675 A . 2 d 852. to administer mouth-to-mouth resuscitation. The child was rushed to the hospital where, two days later, she died after "During the pre-Clohessy era, i t is accepted that the plaintiff i n the above situation would have no remedy for her the plaintiff decided to discontinue extraordinary life-support methods. See id. emotional distress. Some trial courts still believe, however, that even after Clohessy there would not be a valid claim f o r The mother brought a medical malpractice complaint against bystander emotional distress i n the above situation simply the defendants, i n which she alleged that she suffered because the context entails medical malpractice. This court emotional distress as a result o f witnessing her daughter's 5 ^^OV H e r n a n d e z v. Y a l e New H a v e n H o s p . , Not R e p o r t e d in A . 2 d (2010) deterioration and death. See id., at 84, 438 A . 2 d 6. The trial o f stimulating emotional disturbances upon the part o f the court granted the defendants' motion to strike this count and visitors than because o f the merits o f the complaint. Medical the Supreme Court affirmed. The Supreme Court reasoned judgments as to the appropriate treatment o f a patient ought that the allegations o f the complaint indicated that the injuries not to be influenced by the concern that a visitor may become suffered by the child became manifest a considerable period upset f r o m observing such treatment or f r o m the failure to of time after the alleged negligence o f the doctors occurred. f o l l o w some notion o f t h e visitor as to care o f the patient. The focus o f the concern o f medical care practitioners should be See id., at 91-93,438 A . 2 d 6 . upon the patient and any diversion o f attention or resources I n Moloney v. Conroy, supra, 208 Conn, at 402, 545 A . 2 d to accommodate the sensitivities o f others is bound to detract 1059, the Supreme Court maintained this position given that f r o m that devoted to patients ... Obviously, i f the attention o f the facts presented were strikingly similar to those before the medical practitioners is properly called to some deficiency i n court in Amodio. I n Moloney, the plaintiff, who lived w i t h her the treatment o f a patient by anyone, that circumstance may mother until her mother's death, was present at her bedside be significant i n deciding whether there has been malpractice. as her mother was being treated by the defendants. See id., It is, however, the consequences to the patient, and not to at 394, 545 A . 2 d 1059. Following an operation, the plaintiff other persons, o f deviations f r o m the appropriate standard o f observed her mother's health deteriorate under the treatment medical care that should be the central concern o f medical o f the defendants and culminate i n death. The plaintiff alleged practitioners. I n the case before us, i f t h e defendants should that the suffering and death o f the mother were caused by have responded to the various requests the plaintiff alleges the negligence o f the defendants i n failing to care for her she made about her mother's condition, they should be held in a reasonably competent manner, including their failure to liable for the consequences o f their neglect to the patient heed several requests o f the plaintiff that they investigate or her estate rather than to the plaintiff. I t is a fundamental various symptoms she had observed relating to her mother's assumption o f jurisprudence that rules o f law have an impact deteriorating condition. See id. on the manner i n w h i c h society conducts its affairs. We are persuaded that the recognition o f a cause o f action under In rejecting the plaintiffs emotional distress claim, the the circumstances court articulated several public policy concerns. "To allow consequences detrimental to the community as a whole that pleaded in the complaint would have recovery by one, like the plaintiff, who has been more outweigh the benefit a f e w hypersensitive individuals would or less constantly at the bedside o f the malpractice victim be likely to derive f r o m permitting such an action to proceed." during the period o f treatment is likely to cause hospitals Id., at 403, 545 A . 2 d 1059. (Emphasis added.) and other medical treatment facilities to curtail substantially the extent o f visitation of patients that is presently permitted. Subsequently, the Superior Court i n Desjardins Such a response b y providers o f medical care to the risk o f Backus liability to visitors whose sensitivity and relationship to the examined the contemporaneous sensory perception element Hospital, supra, v. William 34 Conn. L . Rptr. at 518, closely patient may result i n emotional disturbances f r o m observing o f the Clohessy treatment o f loved ones that they view as improper would require a plaintiff to make two allegations i n order to test. "[TJhis court interprets Clohessy to seem inevitable i f such claims were to become more frequent. show contemporaneous sensory perception o f the event or The restriction o f current liberal practices w i t h respect to conduct which causes the injury to the third party ... First, patient visitation i n order to reduce the incidence o f bystander the bystander must allege actual perception o f the distinct emotional disturbance claims would be a regrettable social event or conduct that caused the immediate severe or life consequence o f enlarging the right to recover for emotional threatening harm to the third party. Second, the bystander disturbances based upon the impact o f medical malpractice must allege that this observation immediately caused them to upon bystanders." (Internal quotation marks omitted.) Id., at suffer severe emotional distress." Id.; see also Vanase v. State, Superior Court, judicial district o f New London, Docket N o . 402-03, 545 A . 2 d 1059. C V 00 0554764 (February 1,2001, Hurley, J.T.R.) (28 Conn. * 8 The court continued: "Another undesirable sequel that L . Rptr. 665). is likely to follow upon our creation o f a duty to a patient's visitors or relatives is that medical personnel may feel The Desjardins obligated to respond to the usually uninformed complaints meet the concerns o f the Clohessy court continued: "[TJhis test is sufficient to o f visitors concerning the treatment o f patients more for fear etiology o f emotional injuries because i t allows a bystander WesllawNexf © 2015 T h o m s o n Reuters. No claim to original U.S. G o v e r n m e n t W o r k s . ^^PM court w i t h respect to the 6 H e r n a n d e z v. Y a l e N e w H a v e n H o s p . , Not R e p o r t e d in A . 2 d (2010) to recover for emotional distress, i n a medical malpractice The plaintiff observed the defendant's agents and employees action, only where there is a sudden event or act o f medical as they unwrapped Julian's hand and discovered that the malpractice which injures a third party. This limitation also hand was cold, mottled purple, swollen and pulseless. A s a allows a trier o f fact to determine whether there is an result, Julian required emergency surgery, which the plaintiff emotional injury inflicted on a bystander that is severe enough consented to and consequently, watched as he was taken into to cause continuing damage to them and, yet, is unrelated to the operating room. Subsequent surgeries during Julian's i n - the overall grief, loss, or pain that the bystander may feel patient stay at the hospital resulted i n the partial amputation solely because they are related to the victi m and watching the o f his hand. victim suffer i n a medical environment." (Citations omitted; internal quotation marks omitted.) Id., at 518, 675 A . 2 d 852. These allegations demonstrate that the plaintiff did not witness the alleged act o f medical negligence, the improper * 9 I n Desjardins, the plaintiff, the decedent's w i f e , alleged placement o f the intravenous line into her son's left arm. that her husband died a week after falling down a flight Rather, she witnessed only the effects o f this alleged o f stairs due to the medical malpractice o f the defendants. negligence, including the discoloration o f Julian's hand, See id., at 515. A f t e r falling down the stairs, the decedent which were discovered days after the intravenous line was was transported via ambulance to the hospital where he was put in. There is simply no precedent for the court to conclude treated i n the emergency room and admitted w i t h a diagnosis that the p l a i n t i f f s allegations are legally sufficient to support of bifrontal subdural hematoma, right temporal hematoma her claim for bystander emotional distress. Connecticut courts and subarachnoid hemorrhage. During the course o f his have refused to expand this cause o f action to situations where week long stay at the hospital, the plaintiff alleged that the the plaintiff witnesses the deterioration o f the patient over a defendants were negligent and careless by failing to perform period o f time or observes the effects o f the alleged medical adequate diagnostic testing, including intracranial pressure negligence some time after the negligent act has occurred. The monitoring, to properly assess and treat the decedent's court is o f the opinion that recovery for bystander emotional condition. Id. distress i n the medical malpractice context is limited to circumstances such as those described by the trial court i n Based upon these allegations, the court granted the Drew, where a close relative actually witnesses a significant defendants' motion to strike the p l a i n t i f f s emotional distress event or act o f medical negligence and its effect upon claim. "[T]he plaintiff has failed to allege a significant event the patient, and as a result, contemporaneously experiences or conduct leading to the p l a i n t i f f s immediate emotional severe emotional distress. Additionally, the court's decision distress, and, thus, the plaintiff has failed to state a cause is supported by strong public policy concerns, including of action for negligent infliction o f emotional distress. The society's interest i n liberal patient visitation and i n sound, plaintiff has not sufficiently alleged that her emotional injury undistracted medical judgment o f healthcare professionals. was caused b y the contemporaneous sensory perception o f the event or conduct that caused the injury as required by the *10 I n sum, the court finds that the Clohessy test applies Nor has she sufficiently alleged to the p l a i n t i f f s claim o f bystander emotional distress, which that she suffered immediate emotional distress as a result arises i n the context of a medical malpractice action. The court second prong o f Clohessy. o f witnessing a distinct, insular act o f negligence by the finds, however, that the p l a i n t i f f s allegations f a i l to satisfy defendant." Id., at 518, 675 A . 2 d 852. the Clohessy test because she did not observe the actual act o f medical negligence. I n other words, as set forth i n [2] I n the present case, the p l a i n t i f f s revised complaint, filed August 3, 2009, alleges that she arrived at the hospital w i t h Clohessy, "the plaintiff has failed to allege that her emotional injury was caused b y the contemporaneous sensory perception o f t h e her son on M a y 14, 2007. From M a y 14 until M a y 20, Julian event or conduct that cause[d] the injury." Clohessy, received medicine and nutrition intravenously. On M a y 18, 237 Conn, at 56, 675 A . 2 d 852. The plaintiff i n this case supra, the plaintiff alleges that an intravenous line was negligently "[mjerely observe[d] the consequences o f the defendant's put into Julian's left hand. On the evening o f M a y 19 through [alleged] negligence towards [Julian] without perceiving the the morning o f M a y 20, the plaintiff was physically present actual negligent behavior, [which] is insufficient to maintain at her son's bedside. On the morning o f M a y 20, the plaintiff a cause o f action for emotional distress to a bystander." Id., observed that her son's left thumb and index finger had turned at 36-37, 675 A . 2 d 852. (quoting Amodio blue and called the attention to the defendant's nursing staff. supra.) v. Cunningham, 7 ^^PN H e r n a n d e z v. Y a l e N e w H a v e n H o s p . , Not R e p o r t e d in A . 2 d (2010) AH Citations Conclusion Not Reported i n A.2d, 2010 W L 3786861 For all o f the foregoing reasons, the defendant's motion to strike count three is hereby granted. End of Document © 2015 Thomson Reuters. No claim to original U.S. Government Works. V f e l l a w N e x t © 2 0 1 5 T h o m s o n Reuters. No claim to original U.S. G o v e r n m e n t W o r k s . ^^PO H u b e r v. B a k e w e l l , Not R e p o r t e d in A . 3 d (2015) 60 Conn. L. Rptr. 441 1, 2012, the Probate Court, per Landgrebe, J., granted the petition and appointed Bakewell, who was then serving as the 2015 W L 3973881 decedent's accountant and financial advisor, as conservator. O n l y t h e W e s t l a w c i t a t i o n is c u r r e n t l y available. In its decree o f appointment, the Probate conferred upon UNPUBLISHED OPINION. CHECK Bakewell the authority to "[mjanage all o f the conserved COURT RULES BEFORE CITING. person's estate" and to "[cjollect all o f the conserved person's income and assets, pay the conserved person's bills, expenses S u p e r i o r C o u r t o f Connecticut. and debts, and collect debts due." (Defendant's Ex. A . ) The Judicial District of Danbury. plaintiff alleges that during Bakewell's service as conservator o f her father's estate, the defendants, acting together or i n Sarah E . H U B E R , Conservator o f concert, committed numerous acts o f malfeasance which led t h e Estate of Lawrence S m i t h et a l . to the loss o f a considerable number o f items o f personal v. property belonging to the decedent. Certain o f these items, including a collection o f rare coins and a collection o f Native Cheryl B A K E W E L L et al. American artifacts, had great historic and intrinsic value; N o . DBDCV146015023S. I other items which were lost had equally great sentimental J u n e 3, 2015. value to her father and other f a m i l y members, including a Attorneys and L a w Firms Cohen & W o l f , PC, Danbury, f o r Sarah E. jewelry box containing the remains o f the decedent's w i f e . Huber, The plaintiff specifically alleges that, in the summer o f 2012, Bakewell retained the services o f the Larmores to hold an Conservator o f the Estate o f Lawrence Smith et al. estate sale at the decedent's former residence. The p l a i n t i f f Murolo & Murolo, L L C , Cheshire, Deakin Edwards & Clark, L L P , Woodbridge, for Cheryl Bakewell et al. alleges that the Larmores, among other things: (1) failed to conduct the estate sale i n a professional manner so as to realize the highest and best possible result f r o m the sale; (2) sold certain items off-site after the sale without keeping A N T H O N Y D . T R U G L I A , JR., J. accurate records o f the sale o f these items; (3) donated certain o f the decedent's items to charity, but failed to keep FACTS an accurate record o f the donations; (4) sold certain items *1 The plaintiff, Sarah Huber, as executor o f the estate o f her deceased father, brings this action to recover compensatory and punitive damages f r o m the defendants, Cheryl Bakewell, the former conservator o f the decedent's estate and person, and Merton and D a w n Larmore (the Larmores). B y amended complaint dated September 5, 2014 (# 108.00), the plaintiff alleges numerous causes o f action against the defendants sounding i n negligence, breach o f contract, breach o f fiduciary duty, conversion, fraud, statutory theft, negligent infliction o f emotional distress, and violations o f t h e Connecticut Unfair Trade Practices A c t (CUTPA). The plaintiff also seeks by way o f a separate count a complete inventory and accounting o f all personal property formerly owned by the decedent and entrusted to the defendants i n their fiduciary capacities. I n her amended complaint, the plaintiff makes the following allegations. Prior to his death on A p r i l 23,2014, the decedent, Lawrence Smith, f i l e d a voluntary petition for appointment o f a conservator o f his estate and person w i t h the Probate Court to themselves f o r less than fair market value; (5) failed to separate items o f personal property that the decedent and his children, through a mutual distribution agreement approved by the Probate Court, had agreed would remain w i t h the f a m i l y members; (6) converted some o f the decedent's personal items to themselves without paying f o r them at all; and (7) wrongfully retained proceeds f r o m the sale o f the decedent's items f o r themselves. I n her claims for relief, the plaintiff requests an order f r o m the court compelling the Larmores to provide " [ f j u l l accountings ... concerning the Sale and a judgment f o r the amounts found due on such accountings." The p l a i n t i f f also claims that the Larmores are liable to her father's estate f o r compensatory damages for breach o f their fiduciary duties, negligence, negligent infliction o f emotional distress and C U T P A violations. * 2 The Larmores now move to strike the eleventh count o f the amended complaint w h i c h alleges a claim f o r negligent infliction o f emotional distress on the ground that Connecticut jurisprudence does not recognize this cause o f action i n for the District o f Housatonic (Probate Court). On February WestlawNeXt" © 2015 T h o m s o n Reuters. No claim to original U.S. G o v e r n m e n t W o r k s . ^^PP 1 H u b e r v. B a k e w e l l , Not R e p o r t e d in A . 3 d (2015) 60 Conn. L. Rptr. 441 circumstances arising f r o m damage to or loss o f personal distress and that distress, i f it were caused, might result i n property. illness or bodily harm." (Internal quotation marks omitted.) Parsons v. United Technologies Corp., 243 Conn. 66, 88, 700 A . 2 d 655 (1997); see also Restatement (Third) o f Torts: Phys. & Emot. Harm § 47 (2012) ( " A n actor whose negligent DISCUSSION conduct causes serious emotional harm to another is subject The law on motions to strike made pursuant to Practice Book to liability to the other i f the conduct: (a) places the other §§ 10-39 is well-settled. "The purpose o f a motion to strike in danger o f immediate bodily harm and the emotional harm is to contest ... the legal sufficiency o f the allegations o f results f r o m the danger; or (b) occurs in the course o f specified any complaint ... to state a claim upon w h i c h relief can be categories o f activities, undertakings, or relationships i n granted ... A motion to strike challenges the legal sufficiency which negligent conduct is especially likely to cause serious o f a pleading, and, consequently, requires no factual findings emotional harm"). by the trial court ... We take the facts to be those alleged in the complaint ... and we construe the complaint i n the *3 " I n negligent infliction o f emotional distress claims, manner most favorable to sustaining its legal sufficiency ... unlike general negligence claims, the foreseeability o f the Thus, [ i ] f facts provable i n the complaint w o u l d support a precise nature o f t h e harm to be anticipated [is] a prerequisite cause o f action, the motion to strike must be denied." (Internal to recovery even where a breach o f duty might otherwise be quotation marks omitted.) Fort Trumbull v. Alves, Conservancy, LLC 262 Conn. 480, 498, 815 A . 2 d 1188 (2003). " A motion to strike is properly granted i f the complaint alleges found ..." (Internal quotation marks omitted.) Perodeau Hartford, v. 259 Conn. 729, 754, 792 (2002). Therefore, " [ i ] n order to state a claim f o r negligent infliction o f emotional mere conclusions o f law that are unsupported by the facts distress, the plaintiff must plead that the actor should have alleged." Novametrix foreseen that her behavior w o u l d likely cause harm o f a Medical Systems, Inc. v. BOC Group, specific nature, i.e., o f emotional distress likely to lead to Inc., 224 Conn. 210, 215, 618 A . 2 d 25 (1992). illness or bodily harm." Olson v. Bristol-Burlington " I t is fundamental that i n determining the sufficiency o f District, a complaint challenged b y a defendant's motion to strike, Conn. 914, 870 A . 2 d 1083 (2005). Health 87 Conn.App. 1, 5, 863 A . 2 d 748, cert, granted, 273 all well-pleaded facts and those necessarily implied f r o m the allegations are taken as admitted." (Internal quotation The Larmores rely on the recent case o f Goldstein v. Rapp, 76 Conn.App. Superior Court, judicial district o f N e w London, Docket 296, 299-300, 819 A . 2 d 289 (2003). "The role o f t h e trial N o . CV-10^1010224-S (October 15, 2010, Martin, J.) (50 marks omitted.) Doe v. Board of Education, court [on ruling on a motion to strike is] to examine the Conn. L . Rptr. 779), i n support o f their motion. I n Goldstein, [complaint], construed i n favor o f t h e plaintiffs, to determine the plaintiffs were lessees o f an apartment that became the whether the [pleading party has] stated a legally sufficient subject o f a foreclosure action. The plaintiffs alleged that cause o f action." (Internal quotation marks omitted.) Dodd v. while the foreclosure action was pending, and thus while Middlesex they still had the right to possession o f the apartment, the Mutual Assurance Co., 242 Conn. 375, 378, 698 A.2d 859 (1997). defendant mortgagee and its agents locked them out o f the "[T]he elements [ o f a claim] for negligent infliction o f personal property. A m o n g the items removed were family emotional distress are: (1) the defendant's conduct created an photographs, mementos, and a jar containing the cremated unreasonable risk o f causing the plaintiff emotional distress; remains o f the plaintiffs' father. The plaintiffs asserted a (2) the p l a i n t i f f s distress was foreseeable; (3) the emotional number o f causes o f action against the defendants, including distress was severe enough that i t might result i n illness a count for negligent infliction o f emotional distress. The or bodily harm; and (4) the defendant's conduct was the defendants moved to strike this count on the ground that apartment and removed or caused to be removed the plaintiffs' cause o f the p l a i n t i f f s distress." (Internal quotation marks Connecticut does not recognize a cause o f action for negligent omitted.) Morneau infliction o f emotional distress arising f r o m the damage or v. State, 150 Conn.App. 237, 251, 90 A . 3 d 1003, cert, denied, 312 Conn. 926, 95 A . 3 d 522 (2014). destruction o f personal property. The court i n "[TJn order to state such a claim, the plaintiff has the burden noted that "every Superior Court case that has addressed Goldstein o f pleading that the defendant should have realized that its negligent infliction o f emotional distress claims where the conduct involved an unreasonable risk o f causing emotional only damage was to property ... has held that Connecticut 2 ^^PQ H u b e r v. B a k e w e l l , Not R e p o r t e d in A . 3 d (2015) 60 Conn. L. Rptr. 441 courts do not recognize a cause o f action for negligent family members o f the deceased, [the plaintiffs] have also infliction o f emotional distress based solely on damage to pleaded that the corpse was damaged while i n the care property ... These courts have reasoned that where the injury and custody o f the defendant by conduct o f the defendant; alleged is solely to property, it is not foreseeable to the that this conduct created an unreasonable and foreseeable defendant that its conduct could have caused emotional risk o f causing them emotional distress severe enough to distress, and that distress, i f i t were caused, might result result i n illness or physical harm; and, as a result, they, i n i n illness or bodily harm." Id., at 781; see also Duffy Wallingford, v. 49 Conn.Sup. 109,121-23,862 A . 2 d 890 (2004) fact, suffered emotional distress." Ginsberg Memorial Hospital, v. Manchester supra, 49 Conn. L . Rptr. at 344-45. (denying a motion to strike claim o f negligent infliction o f emotional distress where plaintiff alleged misrepresentations *4 I n Reich, the plaintiff brought a claim for negligent infliction o f emotional distress against a funeral home and as to condition o f real property). its employee for their improper handling o f a portion o f her I n response, the plaintiff cites Ginsberg Manchester deceased husband's cremated remains, including failing to Superior Court, judicial district o f return the remains to her until more than four years after Hartford, Docket No. CV-09-5030482-S (February 2, 2010, her husband's death. The remains had been kept i n a closet Memorial Hospital, v. Spencer, at the funeral home where the remains o f other deceased Superior Court, judicial district o f Hartford, Docket No. C V - persons had been stored. When the remains were discovered, 07-5012682-S (December 10, 2010, Peck, J.). The plaintiffs the defendant sent the p l a i n t i f f a letter informing her that she Peck, J.) (49 Conn. L . Rptr. 341), and Reich v. were the surviving spouse and heirs o f the had one month to make arrangements to retrieve them. The decedent whose remains were placed i n the custody and notification letter also advised the plaintiff that i f she failed to control o f the defendants, a hospital and a funeral home. The retrieve the rest o f her husband's remains by the date set forth in Ginsberg plaintiffs alleged that the decedent's corpse was " 'damaged' in the letter, the remains would be relocated to a crypt where by a gash on the forehead, bruised eyes and a broken nose." they could be retrieved f o r an additional fee. The defendants The plaintiffs brought a number o f causes o f action against f i l e d a motion for summary judgment, arguing that there was the defendants, including claims o f intentional and negligent no evidence that the funeral home's employee knew or should infliction o f emotional distress. The defendants moved to have known that there was a second container o f remains until strike all counts o f the complaint, arguing that Connecticut four years after the p l a i n t i f f s husband's death. The plaintiff law did not recognize causes o f action for damage to or responded that the defendants "either knew or should have "interference w i t h " a corpse. The court granted the motion as known that losing a portion o f the remains and returning to the claim for intentional infliction o f emotional distress, them four years later, possibly mixed w i t h the remains o f but denied the motion as to negligent infliction o f emotional another person, and informing her by way o f an insensitive distress. The court analyzed the claim f o r negligent infliction letter involved an unreasonable risk o f emotional distress." o f emotional distress as follows: "Here, [the plaintiffs] The court denied the motion, finding that the defendants owed have sufficiently pleaded a cause o f action for negligent a duty o f care to the plaintiff to properly care for her husband's infliction o f emotional distress. First, as discussed above, remains and that there were unresolved issues o f fact as to considerations o f public health require family members to the defendant's liability. Reich v. Spencer, entrust the hospital with the custody o f their loved one's Court, Docket N o . CV-07-5012682-S. Connecticut courts corpse, until proper arrangements can be made. I t is logical to have, under Ginsberg conclude that parties charged w i t h the custody and control o f a special relationship exists between persons charged w i t h the remains o f a deceased know or reasonably should know custody and control o f a deceased person's remains thereby supra, Superior and Reich, therefore, recognized that that the surviving relatives are emotionally vulnerable. As creating a duty o f care to f a m i l y members w i t h respect to such, it is foreseeable that the family members would be the handling o f those remains whose breach may f o r m the harmed i f they were subjected to the sight o f the mutilated basis for a cause o f action for negligent infliction of emotional corpse o f the deceased, and such mutilation was caused by the distress where the remains have been mishandled. hospital. Further, on the basis o f public policy, responsibility for negligent conduct on the part o f the hospital i n failing to The plaintiff further argues that the facts o f this case allege safeguard the bodily integrity o f the decedent's corpse should a fiduciary relationship between the plaintiffs decedent be extended to the immediate family. Having established and the Larmores. According to the plaintiff, by accepting that a funeral home owes a duty to them as immediate the responsibility o f handling the decedent's valuable and V ' f e l l a w N e x t © 2015 T h o m s o n Reuters. No claim to original U.S. G o v e r n m e n t W o r k s . ^^PR 3 H u b e r v. B a k e w e l l , Not R e p o r t e d in A . 3 d (2015) 60 Conn. L. Rptr. 441 irreplaceable personal property under the circumstances, the Larmores owed the decedent a fiduciary duty o f loyalty and a duty to supervise properly the safekeeping and sale o f the personal property entrusted to their care. " [ A ] fiduciary or confidential relationship is characterized by a unique degree o f trust and confidence between the parties, one o f whom has superior knowledge, skill or expertise and is under a duty to represent the interests o f another ... The superior position o f the fiduciary or dominant party affords h i m great opportunity for abuse o f the confidence reposed in h i m . " (Internal quotation marks omitted.) Falls Church Group, Ltd. v. Tyler, Cooper & Alcorn, LLP, 281 Conn. 84, 108, 912 A . 2 d 1019 (2007). Connecticut courts have, i n some cases, recognized a cause o f action for negligent infliction o f emotional distress arising f r o m the breach o f a fiduciary duty. See, e.g., Tumosav. Curtis, Superior Court, judicial district o f Hartford, Complex Litigation Docket, Docket No. X 0 7 - C V 08-5023 851-S (August 25,2009, Berger, J.) (denying motion to strike negligent infliction o f emotional distress count based not only the remains o f the decedent's deceased w i f e , but also items o f great historic and sentimental value to h i m and to other f a m i l y members. The Larmores were charged w i t h segregating items to be set aside for family members in accordance w i t h the mutual distribution agreement and w i t h conducting the sale o f the decedent's personal property w i t h a view toward maximizing the benefit o f the sale for the decedent. The Larmores' failure to discharge their obligations properly, the plaintiff alleges, caused the p l a i n t i f f s decedent to suffer illness or bodily harm that the Larmores knew or should have know n would result f r o m failing to discharge those obligations properly. Where, as i n the present case, a defendant is charged w i t h fiduciary responsibilities for the safekeeping and proper disposition o f personal property o f great intrinsic or sentimental value, and where i t is reasonably foreseeable that negligent handling o f that personal property w i l l cause emotional distress severe enough to cause illness or bodily injury, a p l a i n t i f f has alleged a legally sufficient cause o f action f o r negligent infliction o f emotional distress. on allegations o f lack o f due diligence by broker i n advising plaintiffs i n purchase of business venture). Thus, the plaintiff distinguishes Goldstein on the ground that the lender and CONCLUSION property manager i n that case who disposed o f the plaintiffs irreplaceable personal items had no fiduciary relationship For the reasons set forth above, the Larmores' motion to strike w i t h the plaintiffs and, therefore, did not owe the plaintiff count eleven o f the p l a i n t i f f s amended complaint, # 119.00, the duty o f care owed by a fiduciary. Here, i n contrast, is denied. the defendants' relationship and employment responsibilities imposed a heightened duty o f care to the plaintiffs decedent. * 5 The plaintiff alleges that the Larmores owed the decedent the obligation to use due care i n their safekeeping o f the All Citations N o t Reported i n A.3d, 2015 W L 3973881, 60 Conn. L . Rptr. 441 decedent's personal property. That personal property included End of Document © 2015 Thomson Reuters, No claim to original U.S. Government Works. 4 ^^PS § 19a-570. D e f i n i t i o n s , C T S T § 19a-570 Connecticut General Statutes A n n o t a t e d T i t l e 19a. P u b l i c H e a l t h a n d W e l l - B e i n g (Refs & A n n o s ) Chapter 368W. R e m o v a l o f L i f e S u p p o r t Systems (Refs & A n n o s ) C.G.S.A. § l9a-570 § 193-570. D e f i n i t i o n s Effective: October 1, 2 0 0 7 Currentness For purposes o f this section and sections 19a-571 to 19a-580c, inclusive: (1) "Advance health care directive" or "advance directive" means a writing executed i n accordance w i t h the provisions o f this chapter, including, but not limited to, a living w i l l , or an appointment o f health care representative, or both; (2) "Appointment o f health care representative" means a document executed i n accordance w i t h section 19a-575a or 19a-577 that appoints a health care representative to make health care decisions for the declarant i n the event the declarant becomes incapacitated; (3) "Attending physician" means the physician selected by, or assigned to, the patient, who has primary responsibility for the treatment and care o f the patient; (4) "Beneficial medical treatment" includes the use of medically appropriate treatment, including surgery, treatment, medication and the utilization o f artificial technology to sustain life; (5) "Health care representative" means the individual appointed by a declarant pursuant to an appointment o f health care representative for the purpose o f making health care decisions on behalf o f the declarant; (6) "Incapacitated" means being unable to understand and appreciate the nature and consequences o f health care decisions, including the benefits and disadvantages o f such treatment, and to reach and communicate an informed decision regarding the treatment; (7) " L i f e support system" means any medical procedure or intervention which, when applied to an individual, would serve only to postpone the moment o f death or maintain the individual i n a state of permanent unconsciousness, including, but not limited to, mechanical or electronic devices, including artificial means of providing nutrition or hydration; (8) " L i v i n g w i l l " means a written statement i n compliance w i t h section 19a-575a, containing a declarant's wishes concerning any aspect o f his or her health care, including the withholding or withdrawal o f life support systems; WesllaV'/Nexf © 2015 T h o m s o n Reuters. No claim to original U.S. G o v e r n m e n t W o r k s . ^^PT 1 § 19a-570. D e f i n i t i o n s , C T S T § 19a-570 (9) "Next o f k i n " means any member o f the following classes o f persons, i n the order o f priority listed: ( A ) The spouse o f t h e patient; (B) an adult son or daughter o f the patient; (C) either parent o f the patient; (D) an adult brother or sister o f the patient; and (E) a grandparent o f the patient; (10) "Permanently unconscious" means an irreversible condition i n which the individual is at no time aware o f himself or herself or the environment and shows no behavioral response to the environment and includes permanent coma and persistent vegetative state; (11) "Terminal condition" means the final stage o f an incurable or irreversible medical condition which, without the administration o f a life support system, w i l l result i n death w i t h i n a relatively short time period, i n the opinion o f t h e attending physician. Credits (1985, P.A. 85-606, § 1; 1991, P.A. 91-283, § 1; 1993, P.A. 93-407, § 3; 2006, P.A. 06-195, § 63; 2007, P.A. 07-252, § 18.) Notes o f Decisions (1) C. G. S. A . § 19a-570, CT ST § 19a-570 The statutes and Constitution are current w i t h enactments f r o m the 2015 Regular Session and the June Special Session. End of Document © 2015 Thomson Reuters. No claim to original U.S. Government Works. V'fetlawNext © 2015 T h o m s o n Reuters. No claim to original U.S. G o v e r n m e n t W o r k s . ^^PU 2 § 1 9 a - 5 7 1 . Liability re r e m o v a l of life s u p p o r t s y s t e m of..., C T S T § 19a-571 C o n n e c t i c u t General Statutes A n n o t a t e d T i t l e 19a. Public H e a l t h a n d W e l l - B e i n g (Refs & A n n o s ) Chapter 368W. R e m o v a l o f L i f e S u p p o r t Systems (Refs & A n n o s ) C.G.S.A. § iga-571 § 193-571. L i a b i l i t y re r e m o v a l o f l i f e s u p p o r t system o f incapacitated p a t i e n t . C o n s i d e r a t i o n of wishes o f p a t i e n t Currentness (a) Subject to the provisions o f subsection (c) o f this section, any physician licensed under chapter 370 1 or any licensed medical facility who or which withholds, removes or causes the removal o f a life support system o f an incapacitated patient shall not be liable for damages i n any civil action or subject to prosecution i n any criminal proceeding f o r such withholding or removal, provided (1) the decision to withhold or remove such life support system is based on the best medical judgment o f t h e attending physician i n accordance w i t h the usual and customary standards o f medical practice; (2) the attending physician deems the patient to be i n a terminal condition or, i n consultation w i t h a physician qualified to make a neurological diagnosis who has examined the patient, deems the patient to be permanently unconscious; and (3) the attending physician has considered the patient's wishes concerning the withholding or withdrawal o f life support systems. I n the determination o f the wishes o f the patient, the attending physician shall consider the wishes as expressed b y a document executed i n accordance w i t h sections 19a-575 and 19a-575a, i f any such document is presented to, or i n the possession of, the attending physician at the time the decision to withhold or terminate a life support system is made. I f the wishes o f t h e patient have not been expressed i n a living w i l l the attending physician shall determine the wishes o f the patient by consulting any statement made b y the patient directly to the attending physician and, i f available, the patient's health care representative, the patient's next o f kin, the patient's legal guardian or conservator, i f any, any person designated b y the patient i n accordance w i t h section l-56r and any other person to whom the patient has communicated his wishes, i f the attending physician has knowledge o f such person. A l l persons acting on behalf o f the patient shall act i n good faith. I f the attending physician does not deem the incapacitated patient to be i n a terminal condition or permanently unconscious, beneficial medical treatment including nutrition and hydration must be provided. (b) A physician qualified to make a neurological diagnosis who is consulted by the attending physician pursuant to subdivision (2) o f subsection (a) o f this section shall not be liable for damages or subject to criminal prosecution for any determination made i n accordance with the usual and customary standards o f medical practice. (c) I n the case o f an infant, as defined i n 45 CFR 1340.15 (b), the physician or licensed medical facility shall comply w i t h the provisions o f 45 CFR 1340.15 (b)(2) i n addition to the provisions o f subsection (a) o f t h i s section. Credits (1985, P.A. 85-606, § 2; 1991, P.A. 91-283, § 2; 1991, June Sp.Sess., P.A. 91-11, § 19, eff. Oct. 1, 1991; 1993, P.A. 93-407, § 5; 2001, P.A. 01-195, § 162, eff. July 11, 2001; 2002, P.A. 02-105, § 7; 2006, P.A. 06-195, § 64.) Notes o f Decisions (4) Footnotes 1 C.G.S.A. § 20-8 et seq. WesllawNext © 2015 T h o m s o n Reuters. No claim to original U.S. G o v e r n m e n t W o r k s . ^^PV 1 § 19a-571. Liability re r e m o v a l of life s u p p o r t s y s t e m of..., C T S T § 19a-571 C. G. S. A . § 19a-571, CT ST § 19a-571 The statutes and Constitution are current w i t h enactments f r o m the 2015 Regular Session and the June Special Session. End of Document © 2015 Thomson Reuters. No claim to original U.S. Government Works. WestlawNext' © 2015 T h o m s o n Reuters. No claim to original U.S. G o v e r n m e n t W o r k s . ^^QM 2 § 19a-580. P h y s i c i a n to notify c e r t a i n p e r s o n s prior to r e m o v a l of.,., C T S T § 19a-580 Connecticut General Statutes A n n o t a t e d T i t l e 19a. P u b l i c H e a l t h a n d W e l l - B e i n g (Refs & A n n o s ) Chapter 368W. R e m o v a l o f L i f e S u p p o r t Systems (Refs & A n n o s ) C.G.SA. § i 9 a - 5 8 o § 198-580. Physician t o n o t i f y certain persons p r i o r t o r e m o v a l o f l i f e s u p p o r t system Currentness W i t h i n a reasonable time prior to withholding or causing the removal o f any life support system pursuant to sections 19a-570, 19a-571, 19a-573 and 19a-575 to 19a-580c, inclusive, the attending physician shall make reasonable efforts to n o t i f y the individual's health care representative, next-of-kin, legal guardian, conservator or person designated i n accordance w i t h section l-56r, i f available. Credits (1991, P.A. 91-283, § 8; 1993, P.A. 93-407, § 10; 2002, P.A. 02-105, § 9; 2006, P.A. 06-195, § 73.) C. G. S. A . § 19a-580, CT ST § 19a-580 The statutes and Constitution are current w i t h enactments f r o m the 2015 Regular Session and the June Special Session. End of Document © 2015 Thomson Reuters. No claim to original U.S. Government Works. WesliawNext' © 2015 T h o m s o n Reuters. No claim to original U.S. G o v e r n m e n t W o r k s . ^^QN STATE OF CONNECTICUT PUBLIC and SPECIAL ACTS p ^sed by the General Assembly JANUARY, 1985, REGULAR SESSION JULY, 1985, SPECIAL SESSION COMPILED, INDEXED A N D PUBLISHED I N ACCORDANCE W I T H SECTION 2-58 OF THE GENERAL STATUTES BY THE LEGISLATIVE COMMISSIONERS' OFFICE HARTFORD, CONNECTICUT 1985 ^^QO IBLIC ACTS information by ty of a class D > the contrary, of children and proved by the rmation to the inal conviction including one >r treatment of parents! All ocured by the service agency ach agencies or this subsection j department of mcies shall be o the contrary, nent of mental rmation to said f an applicant lentally retarded spartment which disclosure shall or B felonies or don procured by md shall not be \ny violation of y of information punishable by a HON OF LAW INAL JUSTICE DURCES SUCH )RMATION TO CONVICTION 3RS OF SUCH ANT, FOR A HOME. A L L CONVICTION 'ARTMENT OF }, SHALL BE MSCLOSED B Y IONS OF THIS ^TIALITY OF i OF HUMAN DF NOT MORE JANUARY 1985 P.A, 85=605 1237 (i) NOTWITHSTANDING ANY OTHER PROVISION OF LAW TO THE CONTRARY, UPON THE REQUEST TO A CRIMINAL JUSTICE AGENCY B Y THE DEPARTMENT OF HEALTH SERVICES SUCH CRIMINAL JUSTICE AGENCY SHALL PROVIDE INFORMATION TO THE DEPARTMENT CONCERNING THE CRIMINAL CONVICTION RECORD OF AN APPLICANT AND ANY STAFF OF SUCH APPLICANT FOR A LICENSE TO OPERATE A DAY CARE CENTER OR GROUP DAY CARE HOME. ALL INFORMATION INCLUDING ANY CRIMINAL CONVICTION RECORD, SHALL B E PROCURED B Y THE DEPARTMENT OF HEALTH SERVICES FOR LICENSING PURPOSES, SHALL B E CONFIDENTIAL AND SHALL NOT B E FURTHER DISCLOSED B Y SUCH AGENCY OR THEIR REPRESENTATIVES. ANY VIOLATION OF THE PROVISIONS OF THIS SUBSECTION RELATIVE TO THE CONFIDENTIALITY OF INFORMATION RECEIVED B Y THE DEPARTMENT OF HEALTH SERVICES SHALL B E PUNISHABLE B Y A FINE OF NOT MORE THAN ONE THOUSAND DOLLARS. Substitute House Bill No. 6701 PUBLIC A C T NO. 85-605 AN ACT CONCERNING TESTIMONY OF EXPERT WITNESSES IN CRIMINAL CASES. (NEW) No expert witness testifying with respect to the mental state or condition of a defendant in a criminal case may state an opinion or inference as to whether the defendant did or did not have the mental state or condition constituting an element of the crime charged or of a defense thereto, except that such expert witness may state his diagnosis of the mental state or condition of the defendant. The ultimate issue as to whether the defendant was criminally responsible for the crime charged is a matter for the trier of fact alone. Substitute Senate Bill No. 67 PUBLIC A C T NO. 85-606 AN ACT CONCERNING DEATH WITH DIGNITY. Section 1. (NEW) For purposes of this act: (1) 'Life support system" means any mechanical or electronic device, excluding the provision of nutrition and hydration, utilized by any physician or licensed medical facility in order to replace, assist or supplement the function of any human vital organ or combination of organs and which prolongs the dying process; (2) "Beneficial medical treatment" includes the use of surgery, treatment, medication and the utilization of artificial technology to sustain life. (3) 'Terminal condition" means the final stage of an incurable or irreversible medical condition which, in the opinion of the attending physician, will result in death. ^^QP m PUBLIC ACTS P.A. 85-607 1238 Sec. 2. (NEW) Any physician licensed under chapter 370 of the general statutes or any licensed medical facility which removes or causes the removal of a life support system of an incompetent patient shall not be liable for damages in any civil action or subject to prosecution in any criminal proceeding for such removal, provided (1) the decision to remove such life support system is based on the best medical judgment of the attending physician; (2) the attending physician deems the patient to be in a terminal condition; (3) the attending physician has obtained the informed consent of the next of kin, if known, or legal guardian, if any, of the patient prior to removal; and (4) the attending physician has considered the patient's wishes as expressed by the patient directly, through his next of kin or legal guardian, or in the form of a document executed in accordance with section 6 of this act, if any such document is presented to, or in the possession of, the attending physician at the time the decision to terminate a life support system is made. If the attending physician does not deem the patient to be in a terminal condition, beneficial medical treatment and nutrition and hydration must be provided. Sec. 3. (NEW) This act creates no presumption concerning the wishes of a patient who has not executed a document as described in section 6 of this act. Sec. 4. (NEW) Notwithstanding the provisions of this act, comfort care and pain alleviation shall be provided in all cases. Sec. 5. (NEW) The provisions of this act shall not apply to a pregnant patient. Sec. 6. (NEW) Any adult person may execute a document in substantially the following form: If the time comes when I am incapacitated to the point when I can no longer actively take part in decisions for my own life, and am unable to direct my physician as to my own medical care, I wish this statement to stand as a testament of my wishes. I .... (NAME) request that I be allowed to die and not be kept alive through life support systems if my condition is deemed terminal. I do not intend any direct taking of my life, but only that my dying not be unreasonably prolonged. This request is made, after careful reflection, while I am of sound mind. (Signature) (Date) (Witness) (Witness) JANUARY 1! dollars or mon known as tl three-fourths oi fund. In no eve which would c£ one million dol] Sec. 2. commissioner o commissioner, schools, a rer. members chose occupational scl education shall fund with the a procure an in< occupational sch dollars because 10-14i and 10-L the benefit of p i to the private < applied against student protectic funds in the ,' protection fund indemnity or ins SCHOOL Sec. 3. committee, shall Applications for as the commiss prescribe. The c advisory commit representing tuiti commissioner, w shall conduct a occupational sch< and shall ascertj determined by t Each private occ 10-7a to 10-71, commissioner wi such time and commissioner shs not later than Fel Section 1. (NEW) After each annual determination of the balance of the private occupational student protection fund required by section 10- 14k of the general statutes, if the balance of the fund is one million Sec. 4. < and ordered to tx committee, from Substitute Senate Bill No. 606 PUBLIC A C T NO. 85-607 AN ACT ESTABLISHING STUDENT BENEFIT FUND. A PRIVATE OCCUPATIONAL ^^QQ STATE OF CONNECTICUT PUBLIC and SPECIAL ACTS Passed by the General Assembly JANUARY, 1991, REGULAR SESSION JUNE, 1991, SPECIAL SESSIONS COMPILED, INDEXED AND PUBLISHED LN ACCORDANCE WITH SECTION 2-58 OF THE GENERAL STATUTES BY THE LEGISLATIVE COMMISSIONERS' OFFICE HARTFORD, CONNECTICUT 1991 ^^QR PUBLIC ACTS J A N U A R Y 1991 tecutive director [, osit in a special or ivision, which the ated by him which s received by such lion, if any, authotheir receipts and jj such information jtermines that any fRESPONSIBJLy sales agent with ome delinquent in ., the executive dimal to ten per cent interest at the rate i>n of a month from ovisions of section •rovided under this ly such moneys to vas not intentional e notified of such ontest the validity hereby authorized >rized to designate ie executive direcleriff, constable or delinquent lottery itemized bill shall aent ofthe amount force and effect as shall be levied on nt and sale made rce and effect as a ith the advice and pter 54 to carry out marshal on each floor. Not later than October 1, 1993, each residential building having more than four stories and occupied primarily by elderly persons shall have an automatic fire extinguishing system approved by the state fire marshal on each floor. FOR THE PURPOSES OF THIS SUBSECTION, THE PHRASE "OCCUPIED PRIMARILY BY ELDERLY PERSONS" MEANS THAT ON OCTOBER 1,1993, OR ON THE DATE OF ANY INSPECTION, IF LATER, A MINIMUM OF EIGHTY PER CENT OF THE DWELLING UNITS AVAILABLE FOR HUMAN OCCUPANCY IN A RESIDENTIAL BUILDING HAVE AT LEAST ONE RESIDENT WHO HAS ATTAINED THE AGE OF SIXTY-FIVE YEARS. Sec. 2. There is established a task force which shall determine the number of residential buildings occupied primarily by elderly persons and subject to compliance with the provisions of section 1. of this act which are effective October 1,1993, the cost of such compliance, and the feasibility of compliance within the time limit established. The task force shall consist of the commissioners of the departments of public safety and housing, or their designees, a member of the joint standing committee of the general assembly having cognizance of matters relating to public safety, appointed by the president pro tempore of the senate, a member of the joint standing committee of the general assembly having cognizance of human services, appointed by the majority leader of the senate, an automatic fire extinguishing system contractor, appointed by the minority leader of the senate, a representative of the Connecticut Fire Marshal's Association, appointed by the speaker ofthe house of representatives, amember ofthe state building codes and standards committee, appointed by the majority leader of the house of representatives and a person having expertise in elderly housing appointed by the minority leader of the house of representatives. The members of the task force shall serve without compensation or reimbursement of any kind and the task force shall report its findings to the general assembly not later than February 15, 1992. Sec. 3. This act shall take effect from its passage, except section 1 shall take effect October 1,1991. r : P . A , 91-283 647 Approved June 24,1991 Substitute House Bill No. 7184 PUBLIC A C T NO. 91-283 AN ACT CONCERNING LIVING WILLS. I C FIRE EXTIN- tatutes is repealed ng more than four d by the state fire Section 1. Section 19a-570 of the general statutes is repealed and the following is substituted in lieu thereof: For purposes of this section and sections 19a-571 to 19a-575, inclusive: (1) "Life support system" means any [mechanical or electronic device, excluding the provision of nutrition and hydration, utilized by any physician or licensed medical facility in order to replace, assist or supplement the function of any human vital organ or combination of organs and which prolongs the dying process] MEDICAL PROCEDURE OR INTERVENTION WHICH, WHEN APPLIED TO AN INDIVIDUAL, WOULD SERVE ONLY TO POSTPONE THE MOMENT OF DEATH OR MAINTAIN THE INDIVIDUAL IN A STATE OF PERMANENT UNCONSCIOUSNESS. LN THESE CIRCUMSTANCES, SUCH PROCEDURES SHALL INCLUDE, BUT ARE NOT LIMITED TO, MECHANICAL OR ELECTRONIC DEVICES INCLUDING ARTIFICIAL MEANS OF PROVIDING NUTRITION OR HYDRATION; ^^QS 648 P.A. 91=283 PUBLIC ACTS (2) "Beneficial medical treatment" includes the use of surgery, treatment, medication and the utilization of artificial technology to sustain life; (3) "Terminal condition" means the final stage of an incurable or irreversible medical condition which, [in the opinion of the attending physician] WITHOUT THE ADMINISTRATION OF A LIFE SUPPORT SYSTEM, will result in death WITHIN A RELATIVELY SHORT TIME, IN THE OPINION OF THE ATTENDING PHYSICIAN; (4) "PERMANENTLY UNCONSCIOUS" INCLUDES PERMANENT COMA AND PERSISTENT VEGETATIVE STATE AND MEANS A N IRREVERSIBLE CONDITION IN WHICH THE INDIVIDUAL IS AT NO TIME AWARE OF HIMSELF OR THE ENVIRONMENT AND SHOWS NO BEHAVIORAL RESPONSE TO THE ENVIRONMENT; (5) "HEALTH CARE AGENT" MEANS A N ADULT PERSON TO WHOM AUTHORITY TO CONVEY HEALTH CARE DECISIONS IS DELEGATED IN A WRITTEN DOCUMENT BY ANOTHER ADULT PERSON, KNOWN AS THE PRINCIPAL; (6) "INCAPACITATED" MEANS BEING UNABLE TO UNDERSTAND AND APPRECIATE THE NATURE AND CONSEQUENCES OF HEALTH CARE DECISIONS, INCLUDING THE BENEFITS AND DISADVANTAGES OF SUCH TREATMENT, AND TO REACH AND COMMUNICATE AN INFORMED DECISION REGARDING THE TREATMENT; (7) "LIVING WILL" MEANS A WRITTEN STATEMENT TN COMPLIANCE WITH SECTION 19a-575, AS AMENDED BY SECTION 5 OF THIS ACT, CONTAINING A DECLARANT'S WISHES CONCERNING ANY ASPECT OF HIS HEALTH CARE, INCLUDING THE WITHHOLDING OR WITHDRAWAL OF LIFE SUPPORT SYSTEMS; (8) "NEXT OF KIN" MEANS ANY MEMBER OF THE FOLLOWING CLASSES OF PERSONS, I N THE ORDER OF PRIORITY LISTED: (A) THE SPOUSE OF THE PATIENT; (B) A N ADULT SON OR DAUGHTER OF THE PATIENT; (C) EITHER PARENT OF THE PATIENT; (D) AN ADULT BROTHER OR SISTER OF THE PATIENT; AND (E) A GRANDPARENT OF THE PATIENT; (9) "ATTENDING PHYSICIAN" MEANS THE PHYSICIAN SELECTED BY, OR ASSIGNED TO, THE PATIENT AND WHO HAS PRIMARY RESPONSIBILITY FOR THE TREATMENT AND CARE OF THE PATIENT. Sec. 2. Section 19a-571 ofthe general statutes is repealed and the following is substituted in lieu thereof: (a) Any physician licensed under chapter 370 or any licensed medical facility WHO OR which WITHHOLDS, removes or causes the removal of a life support system of an [incompetent] INCAPACITATED patient shall not be liable for damages in any civil action or subject to prosecution in any criminal proceeding for such WITHHOLDING OR removal, provided (1) the decision to WITHHOLD OR remove such life support system is based on the best medical judgment of the attending physician IN ACCORDANCE WITH THE USUAL AND CUSTOMARY STANDARDS OF MEDICAL PRACTICE; (2) the attending physician deems the patient to be in a terminal condition [; (3) the attending physician has obtained the informed consent of the nextof kin, if known, or legal guardian, if any, of the patient prior to removal; and (4)] OR, I N CONSULTATION WITH A PHYSICIAN QUALIFIED TO MAKE A NEUROLOGICAL DIAGNOSIS WHO HAS EXAMINED THE PATIENT, DEEMS THE PATIENT TO BE PERMANENTLY UNCONSCIOUS; AND (3) the attending physician has considered the patient's wishes CONCERNING THE WITHHOLDING OR WITHDRAWAL OF LIFE SUPPORT SYSTEMS. I N THE DETERMINA- ^^QT J A N U A R Y 19! TION OF THE SHALL CONSII next of kin or leg with section 19adocument is pres the decision to \ WISHES OF T H THE ATTEND! PATIENT BY O RECTLY TO T I TIENT'S HEAL TIENT'S LEG^ OTHER PERSC WISHES, IF T I PERSON. A L L ACT I N GOOD TATED patient SCIOUS, benefi must be provide< (b)AF. NOSISWHOIS TO SUBDIVTSIi LIABLE FOR I ANY DETERM CUSTOMARY Sec. 3. health care agen signed and dated sign the docume: tion of such doci (b) For of mental health the facility and i specialized train (c) For of mental retard with the facility with specialized (d) An. rest home with l not be appointee ment.isapatien facilities. An ad responsible for £ such person. TI ployee is related (e) A p cian for the prin Sec. 4. is substituted in (a) No ' U B L I C ACTS rgery, treatment, 5 Die or irreversible WITHOUTTHE in death WITHIN TENDING PHY¬ . PERMANENT ANS A N IRREAT NO TIME VS NO BEHAVSONTOWHOM LEGATED IN A NfOWN AS THE UNDERSTAND HEALTHCARE AGES OFSUCH FORMED DECIvfT I N COMPLI5 OF THIS ACT, MY ASPECT OF WITHDRAWAL E FOLLOWING STED: (A) THE ?ER OF THE PA¬ T BROTHER OR HE PATIENT; IAN SELECTED ^RYRESPONSIT. and the following id medical facility a life support sys)le for damages in I for such WITHOR remove such ding physician I N IANDARDS OF ntto be inatermited consent of the removal; and (4)] DMAKEANEUTIENT, DEEMS )(3) the attending IE WITHHOLDEDETERMINA1 P.A, 91-283 JANUARY1991 649 TION OF THE WISHES -OF THE PATIENT, THE ATTENDING PHYSICIAN SHALL CONSIDER THE WISHES as expressed by [the patient directly, through his next of kin or legal guardian, or in the form of] a document executed in accordance with section 19a-575, AS AMENDED BY SECTION 5 OF THIS ACT, i f any such document is presented to, or in the possession of, the attending physician at the time the decision to WITHHOLD OR terminate a life support system is made. IF THE WISHES OF THE PATIENT HAVE NOT BEEN EXPRESSED I N A LIVING WILL THE ATTENDING PHYSICIAN SHALL DETERMINE THE WISHES OF THE PATIENT BY CONSULTING ANY STATEMENT MADE BY THE PATIENT DIRECTLY TO THE ATTENDING PHYSICIAN AND, IF AVAILABLE, THE PATIENT'S HEALTH CARE AGENT, THE PATIENT'S NEXT OF K I N , THE PATIENT'S LEGAL GUARDIAN OR CONSERVATOR, IF ANY, AND ANY OTHER PERSON TO WHOM THE PATIENT HAS COMMUNICATED HIS WISHES IF THE ATTENDING PHYSICIAN HAS KNOWLEDGE OF SUCH PERSON. ALL PERSONS ACTING ON BEHALF OF THE PATIENT SHALL ACT LN GOOD FAITH. I f the attending physician does not deem the INCAPACITATED patient to be in a terminal condition OR PERMANENTLY UNCONSCIOUS, beneficial medical treatment [and] INCLUDING nutrition and hydration must be provided. (b) A PHYSICIAN QUALIFIED TO MAKE A NEUROLOGICAL DIAGNOSIS WHO IS CONSULTED BY THE ATTENDING PHYSICIAN PURSUANT TO SUBDIVISION (2) OF SUBSECTION (a) OF THIS SECTION SHALL NOT BE LIABLE FOR DAMAGES OR SUBJECT TO CRIMINAL PROSECUTION FOR ANY DETERMINATION MADE I N ACCORDANCE WITH THE USUAL AND CUSTOMARY STANDARDS OF MEDICAL PRACTICE. Sec. 3. (NEW) (a) Any person eighteen years of age or older may appoint a health care agent by executing a document in accordance with section 6 of this act, signed and dated by such person in the presence of two adult witnesses who shall also sign the document. The person appointed as agent shall not act as witness to the execution of such document or sign such document. (b) For persons who reside in facilities operated or licensedby the department of mental health, at least one witness shall be an individual who is not affiliated with the facility and at least one witness shall be a physician or clinical psychologist with specialized training in treating mental illness. (c) For persons who reside in facilities operated or licensed by the department of mental retardation, at least one witness shall be an individual who is not affiliated with the facility and at least one witness shall be a physician or clinical psychologist with specialized training in developmental disabilities. (d) An operator, administrator, or employee of a hospital, home for the aged, rest home with nursing supervision, or chronic and convalescent nursing home may not be appointed as a health care agent by any person who, at the time of the appointment , is a patient or a resident of, or has applied for admission to, one of the foregoing facilities! An administrator or employee of a government agency which is financially responsible for a person's medical care may not be appointed as a health care agent for such person. This restriction shall not apply if such operator, administrator or employee is related to the principal by blood, marriage or adoption. (e) A physician shall not act as both agent for a principal and attending physician for the principal. Sec. 4. Section 19a-573 of the general statutes is repealed and the following is substituted in lieu thereof: (a) Notwithstanding the provisions of sections 19a-571, 19a-572, 19a-574, ^^QU 650 PUBLIC ACTS P . A . 91-283 J A N U A R Y 1! (CROJ ADMINISTER [and] 19a-575, AS AMENDED BY SECTIONS 2 AND 5 OF THIS ACT, AND THE PROVISIONS OF SECTIONS 6, 11 AND 13 OFTHIS ACT, comfort care and pain alleviation shall be provided in all cases. (b) ANY DOCUMENT EXECUTED PRIOR TO THE EFFECTIVE DATE OF THIS ACT IN ACCORDANCE WITH SECTION 19a-575, REVISION OF 1958, REVISED TO JANUARY 1, 1991, SHALL NOT BE INVALIDATED BY ANY PROVISION OF THIS ACT. ANY DOCUMENT EXECUTED PRIOR TO THE EFFECTIVE DATE OF THIS ACT SHALL NOT BE PRESUMED TO PROHIBIT WITHHOLDING OR WITHDRAWAL OF LIFE SUPPORT SYSTEMS AS DEFINED I N SECTION 19a-570, REVISION OF 1958, REVISED TO JANUARY 1, 1991, UNLESS SUCH PRIOR DOCUMENT SPECIFICALLY ADDRESSES SUCH WITHHOLDING OR WITHDRAWAL. Sec. 5. Section 19a-575 of the general statutes is repealed and the following is substituted in lieu thereof: Any [adult] person EIGHTEEN YEARS OF AGE OR OLDER may execute a document WHICH SHALL CONTAIN DIRECTIONS AS TO SPECIFIC LIFE SUPPORT SYSTEMS WHICH SUCH PERSON CHOOSES TO HAVE ADMINISTERED. SUCH DOCUMENT SHALL BE SIGNED AND DATED BY THE MAKER WITH AT LEAST TWO WITNESSES AND MAY BE in substantially the following form: DOCUMENT CONCERNING WITHHOLDING OR WITHDRAWAL OF LIFE SUPPORT SYSTEMS. If the time comes when I am incapacitated to the point when I can no longer actively take part in decisions for my own life, and am unable to direct my physician as to my own medical care, I wish this statement to stand as a testament of my wishes. [ I .... (NAME) request that I be allowed to die and not be kept alive through life support systems if my condition is deemed terminal. I do not intend any direct taking of my life, but only that my dying not be unreasonably prolonged. This request is made, after careful reflection, while I am of sound mind. IDOr THAT MY DY OTHE "THIS I A M OF SOU! THIS ABOVE-NAM AGE OR OLD TORE AND O THEDOCUM .... (WITNES5 .... (ADDRES .... (WITNES! .... (ADDRES Sec. ( document that .... (Signature) ....(Date) .... (Witness) .... (Witness)] " I , .... (NAME), REQUEST THAT, IF M Y CONDITION IS DEEMED TERMINAL OR IF I A M DETERMINED TO BE PERMANENTLY UNCONSCIOUS , I BE ALLOWED TO DIE AND NOT BE KEPT ALIVE THROUGH LIFE SUPPORT SYSTEMS. BY TERMINAL CONDITION, I MEAN THAT I HAVE AN INCURABLE OR IRREVERSIBLE MEDICAL CONDITION WHICH, WITHOUT THE ADMINISTRATION OF LIFE SUPPORT SYSTEMS, WILL, I N THE OPINION OF M Y ATTENDING PHYSICIAN, RESULT I N DEATH WITHIN A RELATIVELY SHORT TIME. BY PERMANENTLY UNCONSCIOUS I MEAN THAT I A M IN A PERMANENT COMA OR PERSISTENT VEGETATIVE STATE WHICH IS A N IRREVERSIBLE CONDITION TN WHICH I A M AT NO TIME AWARE OF MYSELF OR THE ENVIRONMENT AND SHOW NO BEHAVIORAL RESPONSE TO THE ENVIRONMENT. THE LIFE SUPPORT SYSTEMS WHICH I DO NOT WANT INCLUDE, BUT ARE NOT LIMITED TO: ARTIFICIAL RESPIRATION CARDIOPULMONARY RESUSCITATION ARTIFICIAL MEANS OF PROVIDING NUTRITION AND HYDRATION ^^QV I " I APPOINT . M Y ATTENE DERSTAND HEALTH CA FORMED D AGENT IS Al (1) C WITHHOLD] (2) T THAT M Y W IF T HEALTH CA TERNATIVE "THIS REQU SOUND MIN. THI; ABOVE-NA! OF AGE OR P . A . 91-283 UBLIC ACTS J A N U A R Y 1991 ACT, AND THE brt care and pain (CROSS OUT AND INITIAL LIFE SUPPORT SYSTEMS YOU WANT ADMINISTERED) 7 ECTIVE DATE REVISION OF ALIDATED BY rED PRIOR TO JMED TO PROr SYSTEMS AS¬ )TO JANUARY Y ADDRESSES md the following )ER may execute SPECIFIC LIFE .AVE ADMINISVTED BY THE substantially the DRAWAL :n I can no longer t my physician as iof my wishes. [ I ough life support rect taking of my lest is made, after (Signature) .... (Date) )N IS DEEMED NTLY UNCONrHROUGHLIFE f THAT I HAVE WHICH, WITH¬ , WILL, IN THE ATH WITHIN A CIOUS I MEAN TATIVE STATE VI AT NO TIME W NO BEHAV>ORT SYSTEMS } TO: AND HYDRA- 651 I DO NOT INTEND ANY DIRECT TAKING OF MY LIFE, BUT ONLY THAT M Y DYING NOT BE UNREASONABLY PROLONGED." OTHER SPECIFIC REQUESTS: "THIS REQUEST IS MADE, AFTER CAREFUL REFLECTION, WHILE I A M OF SOUND MIND." .... (SIGNATURE) ....(DATE) THIS DOCUMENT WAS SIGNED IN OUR PRESENCE, BY THE ABOVE-NAMED .... (NAME) WHO APPEARED TO BE EIGHTEEN YEARS OF AGE OR OLDER, OF SOUND MIND AND ABLE TO UNDERSTAND THE NATURE AND CONSEQUENCES OF HEALTH CARE DECISIONS AT THE TIME THE DOCUMENT WAS SIGNED. ....(WITNESS) .... (ADDRESS) .... (WITNESS) ....(ADDRESS) Sec. 6. (NEW) (a) Any person eighteen years of age or older may execute a document that may, but need not be in substantially the following form: DOCUMENT CONCERNING THE APPOINTMENT OF HEALTH CARE AGENT " I APPOINT (name) TO BE M Y HEALTH CARE AGENT. IF MY ATTENDING PHYSICIAN DETERMINES THAT I A M UNABLE TO UNDERSTAND AND APPRECIATE THE NATURE AND CONSEQUENCES OF HEALTH CARE DECISIONS AND TO REACH AND COMMUNICATE AN INFORMED DECISION REGARDING TREATMENT, M Y HEALTH CARE AGENT IS AUTHORIZED TO: (1) CONVEY TO M Y PHYSICIAN M Y WISHES CONCERNING THE WITHHOLDING OR REMOVAL OF LIFE SUPPORT SYSTEMS. (2) TAKE WHATEVER ACTIONS ARE NECESSARY TO ENSURE THAT M Y WISHES ARE GIVEN EFFECT. IF THIS PERSON IS UNWILLING OR UNABLE TO SERVE AS M Y HEALTH CARE AGENT, I APPOINT (name) TO BE M Y ALTERNATIVE HEALTH CARE AGENT." "THIS REQUEST IS MADE, AFTER CAREFUL REFLECTION, WHILE I A M OF SOUND MIND." .... (Signature) .... (Date) THIS DOCUMENT WAS SIGNED I N OUR PRESENCE, BY THE ABOVE-NAMED (name) WHO APPEARED TO BE EIGHTEEN YEARS OF AGE OR OLDER, OF SOUND MIND AND ABLE TO UNDERSTAND THE ^^RM 652 P . A . 91-283 PUBLIC ACTS NATURE AND CONSEQUENCES OF HEALTH CARE DECISIONS AT THE TIME THE DOCUMENT WAS SIGNED. .... (Witness) .... (Address) .... (Witness) .... (Address) Sec. 7. (NEW) (a) Any or all of the attesting witnesses to any living will document or any document appointing a health care agent may, at the request of the declarant, make and sign an affidavit before any officer authorized to administer oaths in or out of this state, stating such facts as they would be required to testify to in court to prove such living will. The affidavit shall be written on the living will document, or i f that is impracticable, on some paper attached thereto. The sworn statement of any such witness so taken shall be accepted by the court of probate as if it had been taken before such court. (b) A physician or other health care provider who is furnished with a copy of a written living will or appointment of health care agent shall make it a part of the declarant's medical record. A physician or other health care provider shall also record in the patient's medical record any oral communication concerning any aspect of his health care, including the withholding or withdrawal of life support systems, made by the patient directly to the physician or other health care provider or to the patient's health care agent, legal guardian, conservator or next-of-kin. Sec. 8. (NEW) Within a reasonable time prior to withholding or causing the removal of any life support system pursuant to this act, the attending physician shall make reasonable efforts to notify the individual's health care agent, next-of-kin and legal guardian or conservator, if available. Sec. 9. (NEW) (a) A living will or appointment of health care agent may be revoked at any time and in any manner by the declarant, without regard to the declarant ' s mental or physical condition. (b) The attending physician or other health care provider shall make the revocation a part of the declarant's medical record. (c) In the absence of knowledge of the revocation either of a living will or an appointment of health care agent, a person is not subject to civil or criminal liability or discipline for unprofessional conduct for carrying out the living will pursuant to the requirements of this act. Sec. 10. (NEW) A living will or appointment of health care agent becomes operative when (1) the document is furnished to the attending physician and (2) the declarant is determined by the attending physician to be incapacitated. Sec. 11. (NEW) An attending physician or health care provider who is unwilling to comply with the wishes of the patient or this act shall, as promptly as practicable, take all reasonable steps to transfer care of the patient to a physician or health care provider who is willing to comply with the wishes of the patient and this act. Sec. 12. (NEW) The probate court for the district in which the person is domiciled or is located at the time of the dispute shall have jurisdiction over any dispute concerning the meaning or application of any provision of this act. With respect to any communication of a patient's wishes other than by means of a document executed in accordance with section 19a-575 of the general statutes, as amended by section 5 of this act, the court shall consider whether there is clear and convincing evidence of such communication. Sec. 13. (NEW) No physician, health care provider or health care insurer shall require a person to execute a living will or appoint a health care agent as a condition of treatment or receiving health care benefits. ^^RN J A N U A R Y 1991 Sec. 14. ( agent shall be revol orupontheannuln otherwise. AN ACT CONCI DURES FOR STA Section 1 substituted in lieu (a)Anyp state, acting throu design, constructii bridge, building o state may, in the e\ TNG OUT OF TH OF PUBLIC WOl judicial district of mined, provided i DER SUCH CO! CLAIM shall have administering the the agency head e action ON A CL/ section later than agency head as so not preclude any j Such action shall I mental immunity BE AWARDED OR AN ARBITR SAME PERIOD* GINTOACCRU THIRTY DAYS, AGENCY FOR 1 BASED, ALON WHENAPPLIG be privileged in r (b) As a (a) of this sectio [which has entere commissions or ment, repair or al cal subdivision o tract,] HAVING P . A . 91-284 653 B L I C ACTS J A N U A R Y 1991 DNS AT THE Sec. 14. (NEW) The appointment of the principal's spouse as health care agent shall be revoked upon the divorce or legal separation of the principal and spouse or upon the annulment or dissolution of their marriage, unless the principal specifies otherwise. iny living will • request of the Iminister oaths fy to in court to locument, or if ent of any such ;n taken before Substitute Senate Bill No. 917 vithacopy of a :t of the declar10 record in the ^t of his health i, made by the iatient's health or causing the )hysician shall ext-of-kin and \ agent may be 1 to the declarnakefherevoving will or an inal liability or mrsuant to the igent becomes an and (2) the ler who is unaptly as practiician or health nd this act. i person is doer any dispute respect to any nt executed in »y section 5 of idence of such h care insurer snt as a condi- P U B L I C A C T N O . 91-284 AN ACT CONCERNING ALTERNATIVE DISPUTE RESOLUTION PROCEDURES FOR STATE CONSTRUCTION CLAIMS. Section 1. Section 4-61 ofthe general statutes is repealed and the following is substituted in lieu thereof: (a) Any person, firm or corporation which has entered into a contract with the state, acting through any of its departments, commissions or other agencies, for the design, construction, construction management, repair or alteration of any highway, bridge,' building or other public works of the state or any political subdivision of the state may in the event of any disputed claims under such contract OR CLAIMS ARISING OUT OF THE AWARDING OF A CONTRACT BY THE COMMISSIONER OF PUBLIC WORKS, bring an action against the state to the superior court for the judicial district of Hartford-New Britain* for the purpose of having such claims determined provided notice of [the general nature of] EACH such [claims] CLAIM UNDER SUCH CONTRACT AND THE FACTUAL BASES FOR EACH SUCH CLAIM shall have been given in writing to the AGENCY HEAD OF THE department administering the contract not later than two years after the acceptance of the work by the agency head evidenced by a certificate of acceptance issued to the contractor. No action ON A CLAIM UNDER SUCH CONTRACT shall be brought under this subsection later than three years from the date of such acceptance of the work by the agency head as so evidenced. Acceptance of an amount offered as final payment shall not preclude any person, firm or corporation from bringing a claim under this section. Such action shall be tried to the court without a jury. All legal defenses except governmental immunity shall be reserved to the state. IN NO EVENT SHALL INTEREST BE AWARDED UNDER SECTION 13a-96 AND SECTION 37-3a BY A COURT OR AN ARBITRATOR TO THE CLAIMANT FOR THE SAME DEBT FOR THE SAME PERIOD OF TIME. INTEREST UNDER SECTION 37-3a SHALL NOT BEGIN TO ACCRUE TO A CLAIMANT UNDER THIS SECTION UNTIL AT LEAST THIRTY DAYS AFTER THE CLAIMANT SUBMITS A BILL OR CLAIM TO THE AGENCY FOR THE UNPAID DEBT UPON WHICH SUCH INTEREST IS TO BE BASED, ALONG WITH APPROPRIATE DOCUMENTATION OF THE DEBT WHEN APPLICABLE. Any action brought under this [section] SUBSECTION shall be privileged in respect to assignment for trial upon motion of either party. (b) As an alternative to the [remedy] PROCEDURE provided in subsection (a) of this section, [and section 13b-57a,] any SUCH person, firm or corporation [which has entered into a contract with the state, acting through any of its departments, commissions or other agencies, for the design, construction, construction management , repair or alteration of any highway, building or bridge of the state or any political subdivision of the state, may, in the event of any disputed claims under such contract ] HAVING A CLAIM UNDER SAID SUBSECTION (a) M A Y submit A ^^RO